NURSING 2V04 Study Guide - Final Guide: Sofa Score, Sepsis, Fluid Replacement
21 Feb 2019
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I thought it would be a breeze summary. Sirs (systemic inflammatory response syndrome): change in body temperature, hr, rr and wbc (elevated, lowered or increase in bands) The concepts outlined above are useful but sirs is too sensitive and non specific: many people had sirs and no sepsis, many people had sepsis and no sirs. Sepsis is now defined as a life-threatening organ dysfunction resulting from a dysregulated host response to infection. Septic shock: subset of sepsis in which circulatory, cellular and metabolic alterations are associated with a higher mortality rate than sepsis alone: severe sepsis + hypotension which cannot be reversed with fluid resuscitation. **the terms sepsis syndrome, septicemia and severe sepsis = removed. Qsofa / sofa help identify organ dysfunction: organ dysfunction would be a increase in sofa score by 2 points or more as a direct result of infection. Unrelieved acute pain complications in recovery longer stay, disability, longer-term pain)
