TestSepsisShock.docx - Teat 53 questions 50 3 math 1 point...

Teat 53 questions
50
3 math 1 point each
4 select all that apply (throw out lowest scoring)
Heavy on sepsis
Diuretics
Kaplan FR
Shock & Sepsis
- Chronic disease risk factor for sepsis
- Invasive lines risk for sepsis: ET tube, foley, chest tubes, wound drains, open incision, central
lines
- Immunocompromised risk for sepsis
- Sepsis
o S&S: dyspnea, warm, dry, pale unique to sepsis (heat evaporates moisture)
 Increased risk of metabolic acidosis
 Compensation with hyperventilation (quick) creates bicarb (slow)
o Elevated temperature is expected due to increased cellular metabolism
 Normal or subnormal – impaired compensation
o Increase EF
o Distributive shock: decreased vascular tone (vasodilation)
 Relative: fluid leakage into tissues
 Preload decreased – decreased pressure
o Tachycardia – compensatory
 Saturate perfusion with oxygen
 Monitor ABG’s for those at increased risk of hypoxia and metabolic
acidosis
 Only way slow HR is to improve BP
o Closely monitor output – indwelling catheter
o Monitor for trends: decrease BP (MAP), increased rate and depth of breathing, increased
temperature, decreased urine output
o Increase calories – enteral preferred