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Flashcards in Sepsis and Septic Shock Deck (19)
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1
Q

What are the components of SIRS criteria?

A
Temp >/  38 degC or  36 degC
HR >/ 90
RR >/ 20
PaCO2  36
WBC >/ 12,000 /< 4000 or >/ 10%
2
Q

What is the cut off value of lactate to say that the patient has septic shock?

A

> 2mmol/L in the absence of hypovolemia

3
Q

how will you resuscitate a patient with SIRS?

A

30ml/kg IV crystalloids in the first 3 hours to maintain a MAP of > 65

4
Q

What is the first line pressors for SIRS?

A

NE

5
Q

If the patient has unresponsive septic shock, what will you give?

A

IV hydrocortisone 200mg/day

6
Q

What is the target tidal volume for patients with SIRS/SEPTIC SHOCK?

A

6mL/kg

7
Q

What is the target glucose control in patients with SIRS/Sepsis?

A

<180

8
Q

What are the components of qSOFA?

A

RR >22
Altered mental status
SBP <100

9
Q

[SSI]

Skin and subcutaneous tissue are involved

A

superficial SSI

10
Q

[SSI]

Skin + SQ + fascia

A

deep SSI

11
Q

[SSI]

Skin + SQ + fascia + muscle

A

deep SSI

12
Q

[SSI]

organ or space SSI with implant occurs within ___

A

within 1 year

13
Q

[SSI]

organ SSI without implant occurs within ____

A

within 30 days

14
Q

[SSI]

Deep incision that spontaneously dehisces with fever, localized pain or tenderness

A

deep incisional

15
Q

[Surgical Prophylaxis]

You give antibiotics ___ minutes before incision

A

60 mins

16
Q

[Surgical Prophylaxis]

Give vancomycin as prophylaxis within ____ minutes

A

120

17
Q

[Surgical Prophylaxis]

How many half lives is needed prior to redosing of antibiotic prophylaxis?

A

when the duration of the surgery exceeds 2 half lives

18
Q

[Surgical Prophylaxis]

When is it indicated to redose?

A
  1. Exceeds 2 half life

2. Excessive blood loss

19
Q

[Prevention of SSI]

type of suture that is considered for prevention of SSI

A

triclocan coated sutures