Infection, Inflammation, and Early Sepsis Learning Objectives
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Questions and Answers

Which of the following best describes Systemic Inflammatory Response Syndrome (SIRS)?

  • A condition characterized by a decrease in heart rate and body temperature
  • An exaggerated response to bacterial infections only
  • A localized inflammatory response that remains confined to a specific area
  • A systemic exaggerated response to infection, trauma, or other insults (correct)
  • What criteria must be met for a patient to be classified as having SIRS?

  • Presence of at least 3 out of 5 specific criteria (correct)
  • High blood pressure, low respiratory rate, and fever
  • Elevated white blood cell count and low heart rate
  • Low body temperature and rapid breathing
  • What is the lowest acceptable Mean Arterial Pressure (MAP) for a patient to avoid progressing into SIRS?

  • 50mmHg
  • Less than 40mmHg
  • 60mmHg (correct)
  • Above 80mmHg
  • What is the most common goal for the Mean Arterial Pressure (MAP) in elderly patients?

    <p>60mmHg</p> Signup and view all the answers

    How many criteria from the Systemic Inflammatory Response Syndrome (SIRS) must a patient meet to be considered as having SIRS?

    <p>At least 3 criteria</p> Signup and view all the answers

    What is the significance of monitoring feeding tubes in patients with an artificial airway/positive pressure ventilation?

    <p>To prevent aspiration pneumonia</p> Signup and view all the answers

    Why is it important to obtain a pan-culture (cultures of urine, sputum, wound exudate) prior to starting antibiotics in septic patients?

    <p>To identify the exact organism causing the infection</p> Signup and view all the answers

    How does the 1-hour timeframe for initiating treatment in sepsis relate to 'Time is Tissue'?

    <p>Delayed treatment can lead to irreversible organ damage</p> Signup and view all the answers

    What is the primary cause of end organ failure in sepsis?

    <p>Low perfusion leading to cellular death</p> Signup and view all the answers

    Which antibiotic is commonly used for MRSA (Methicillin-resistant Staphylococcus aureus) skin infections in the context of sepsis?

    <p>Vancomycin</p> Signup and view all the answers

    How do clots contribute to end organ failure in sepsis?

    <p>By blocking blood flow to organs</p> Signup and view all the answers

    What is the significance of obtaining blood cultures in septic patients over a 72-hour period?

    <p>To detect bacteria causing septicemia</p> Signup and view all the answers

    What is the key difference between Systemic Inflammatory Response Syndrome (SIRS) and Sepsis?

    <p>SIRS involves a localized inflammatory response, while Sepsis is characterized by a systemic response.</p> Signup and view all the answers

    Which of the following best describes the progression from Sepsis to Severe Sepsis?

    <p>Severe Sepsis includes organ dysfunction or failure, unlike Sepsis.</p> Signup and view all the answers

    How does Septic Shock differ from Severe Sepsis?

    <p>Septic Shock involves profound circulatory, cellular, and metabolic abnormalities not present in Severe Sepsis.</p> Signup and view all the answers

    Which of the following lab tests plays a significant role in diagnosing sepsis by indicating abnormal clotting mechanisms?

    <p>PT (Prothrombin Time)</p> Signup and view all the answers

    How does aging impact the immune system in relation to sepsis?

    <p>In aging adults, sepsis may present with subtle symptoms that can be mistaken for normal aging changes.</p> Signup and view all the answers

    Which nursing action is most appropriate for a patient with suspected early sepsis?

    <p>Initiating broad-spectrum antibiotics promptly</p> Signup and view all the answers

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