Sepsis-induced Hypotension Treatment Protocol Quiz

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What is the goal of initial fluid therapy in patients with septic shock and sepsis-induced hypotension?

To promote pathogenic edema

To induce dilutional coagulopathy

To increase intravascular volume (correct)

To cause fluid overload

What is a risk associated with intravenous fluid resuscitation in septic shock patients?

Reduced vasodilation

Dilutional coagulopathy (correct)

Decreased cardiac output

Decreased capillary blood flow

What is the purpose of vasopressor therapy in treating hypoperfusion?

To increase tissue ischemia

To induce arteriolar constriction and increase cardiac contractility (correct)

To induce fluid overload

To decrease cardiac contractility

Which condition can result from liberal fluid strategy in sepsis management?

Pathogenic edema Signup and view all the answers

Restrictive fluid strategy in sepsis management aims to prevent:

Fluid overload Signup and view all the answers

What is a potential complication of using vasopressor agents in treating hypoperfusion?

Vasoconstriction-induced tissue ischemia Signup and view all the answers

What is the broad definition of infection in the context of the text?

Administration of antibiotic agents Signup and view all the answers

In the management of sepsis-induced hypotension, when does the protocol recommend the administration of vasopressors?

After administration of 5 Liters of fluid Signup and view all the answers

What is a key component of the restrictive fluid strategy for sepsis-induced hypotension?

Limiting IV fluid administration Signup and view all the answers

When should rescue vasopressors be used according to the text?

Whenever a 500-ml bolus of IV fluid is administered Signup and view all the answers

What is a critical consideration regarding vasopressors in the context of sepsis-induced hypotension?

They can be used at any time based on clinical judgment Signup and view all the answers

What is the primary reason for using a restrictive fluid strategy in septic shock management?

It involves lower volumes of fluid and earlier vasopressor initiation Signup and view all the answers

What contributes to the variability in practice and controversies around fluid and vasopressor use in early sepsis care?

Lack of robust data to guide early sepsis care Signup and view all the answers

Based on trials involving patients in the intensive care unit, what was the outcome when comparing a restrictive approach to unguided resuscitation?

No difference in 90-day mortality or other outcomes Signup and view all the answers

What is a common practice during the initial resuscitative phase of septic shock management?

Administration of large volumes of fluid Signup and view all the answers

Why is there a key need for prompt action in the early recognition of sepsis and hypotension or shock?

To improve outcomes by delivering timely therapies Signup and view all the answers

What does the lack of robust data to guide fluid and vasopressor use for early sepsis care result in?

Increased controversy around approaches to care Signup and view all the answers

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