Pathophysiology of Sepsis and Shock
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Questions and Answers

What is the initial cause of sepsis?

  • Environmental toxins
  • An existing infection (correct)
  • A chronic illness
  • Genetic predisposition

What is primarily responsible for fighting infections during sepsis?

  • T-lymphocytes
  • Red blood cells
  • Leukocytes (correct)
  • Platelets

How does the immune response in sepsis differ from that in a typical infection?

  • It is completely absent
  • It is underactive
  • It is localized
  • It is hyperactive (correct)

What happens to capillaries during the sepsis process?

<p>They become dilated and more permeable (B)</p> Signup and view all the answers

What effect does the decrease in intravascular volume have on the body?

<p>Compromises blood flow to organs (C)</p> Signup and view all the answers

What condition can result from the abnormal clotting cascade initiated by sepsis?

<p>Disseminated Intravascular Coagulopathy (DIC) (D)</p> Signup and view all the answers

What compound is produced as a result of glucose metabolism without enough oxygen?

<p>Lactic acid (D)</p> Signup and view all the answers

What can excessive leukocyte production during sepsis lead to?

<p>Systemic immune response (A)</p> Signup and view all the answers

What metabolic condition is primarily caused by lactic acid build-up?

<p>Metabolic acidosis (C)</p> Signup and view all the answers

What physiological response is primarily triggered by adrenaline release during inadequate vascular volume?

<p>Tachycardia (A)</p> Signup and view all the answers

Which receptor type is responsible for constricting arteries in sympathetic stimulation?

<p>Alpha 1 receptor (B)</p> Signup and view all the answers

What is the primary effect of sympathetic stimulation on heart rate?

<p>Increases heart rate (C)</p> Signup and view all the answers

What does a low HCO3 level indicate in the context of blood gas analysis?

<p>Metabolic problem (A)</p> Signup and view all the answers

How does sympathetic stimulation primarily affect veins?

<p>Constriction (C)</p> Signup and view all the answers

What condition arises from a significant loss of oxygen in the circulation?

<p>Anaerobic metabolism (C)</p> Signup and view all the answers

What blood gas value indicates an acidic pH level?

<p>pH 7.23 (B)</p> Signup and view all the answers

Which of the following describes the effect of the beta 2 receptor in the lungs?

<p>Dilation of bronchial muscles (D)</p> Signup and view all the answers

What is the normal range for HCO3 in a healthy individual?

<p>22-26 mmol/l (A)</p> Signup and view all the answers

Flashcards

Anaerobic Metabolism

The process of energy production within cells that occurs when oxygen is unavailable.

Metabolic Acidosis

A condition where the body's pH level is too low, typically due to a buildup of acids like lactic acid.

Adrenaline Release

The release of adrenaline, a hormone that helps the body cope with stress, causing a rapid heartbeat and a narrowing of blood vessels.

Beta Receptor

A type of receptor found on cells that can be targeted by hormones like adrenaline, influencing various bodily functions, including heart rate and blood vessel constriction.

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Sympathetic Nervous System

The division of the autonomic nervous system responsible for stimulating the body's 'fight-or-flight' response, involving the release of adrenaline.

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Parasympathetic Nervous System

The division of the autonomic nervous system responsible for 'rest and digest' functions, opposing the effects of the sympathetic nervous system.

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Blood pH

A measure of the acidity or alkalinity of the blood, with a normal range of 7.35-7.45.

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PaO2

The partial pressure of oxygen in the blood, reflecting the amount of oxygen dissolved in the blood.

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PaCO2

The partial pressure of carbon dioxide in the blood, reflecting the amount of carbon dioxide dissolved in the blood.

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Bicarbonate (HCO3)

The amount of bicarbonate, a chemical present in the blood, that can be used to neutralize acidity in the body.

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What is Sepsis?

A life-threatening condition where an infection triggers a widespread immune response, leading to organ damage.

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Immunologic Overactivity in Sepsis

An exaggerated immune response to infection, where the body's defense mechanisms become hyperactive.

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Excess Leukocytes in Sepsis

An excessive number of white blood cells (leukocytes) in the bloodstream, a hallmark of Sepsis.

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Capillary Dilation and Permeability in Sepsis

A condition in Sepsis where blood vessels widen and become leaky, causing fluid to leak out and reduce blood volume.

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Preload in Sepsis

The amount of blood returning to the heart, which is decreased in Sepsis due to fluid leakage.

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Disseminated Intravascular Coagulation (DIC) in Sepsis

A condition in Sepsis where the blood clotting system is activated excessively, leading to widespread micro-clots.

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Anaerobic Metabolism in Sepsis

The process of creating energy (ATP) without oxygen, leading to the production of lactic acid, a sign of metabolic dysfunction.

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Metabolic Acidosis in Sepsis

A condition in Sepsis where tissue damage and metabolic abnormalities lead to an acidic environment in the body.

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Study Notes

Sepsis

  • Sepsis is a life-threatening condition triggered by an existing infection
  • It causes a chain of physiological reactions throughout the body

Pathophysiology of Sepsis

  • Infection triggers an immune response, including increased white blood cells
  • This overactive immune response becomes systemic
  • Capillaries dilate and become more permeable
  • Fluid leaks from blood vessels, reducing intravascular volume
  • Reduced intravascular volume impairs organ perfusion
  • Abnormal clotting (DIC) can occur due to tissue damage and loss of blood volume
  • Insufficient oxygen to tissues leads to anaerobic metabolism. This results in lactic acid buildup.

Shock

  • Shock is caused by inadequate tissue and organ perfusion.
  • Three components are crucial for effective blood flow: a functioning heart, effective circulatory system, and adequate blood volume.
  • Sepsis affects stroke volume, heart rate, and systemic vascular resistance, potentially resulting in reduced cardiac output and blood pressure.
  • Different shock types exist: Hypovolemic, cardiogenic, distributive, obstructive, or dissociative.

Red Flag Criteria for Sepsis

  • Systolic blood pressure below 90 mmHg
  • Respiratory rate over 25 breaths per minute
  • Heart rate over 130 beats per minute
  • Confusion or altered mental status (AVPU)
  • Decreased urine output
  • Oxygen saturation below 91%

Treatment Considerations

  • Addressing the underlying infection with antibiotics is crucial.
  • Fluid replacement is essential to counteract fluid loss
  • Monitor lactate levels as they often increase with sepsis
  • Maintain adequate urine output to evaluate kidney function
  • Blood gas analysis is used to determine oxygen and carbon dioxide levels in the blood, as well as acidity.

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Related Documents

Sepsis & Shock Slides PDF

Description

Explore the critical aspects of sepsis and shock in this quiz. Learn how sepsis triggers an overwhelming immune response that can lead to shock, impaired organ perfusion, and tissue malfunction. This quiz covers the physiological implications and the importance of timely medical intervention.

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