GMED2000 Lecture Notes - Lecture 5: Multiple Organ Dysfunction Syndrome, Coronary Artery Bypass Surgery, Erythema
17 Jul 2018
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Initial presentation: stress on body following cabg surgery, pre-existing medical; history, lifestyle, all impact wound healing - full thickness wound. Increase in pain severity/change in nature of pain. Tissues become friable (tissue no longer healthy and starts to breakdown) and bleed easily. Dehiscence - skin breakdown around the wound area. Local infection can be explained as an infection, which does not affect the whole body of an individual. Systemic infection (sepsis) often results from bacterial, viral or fungal infection. Single or multiple organs affected - may lead to multiple organ failure. Signs and symptoms: fever, aches, chills. Increased hr: decreased bp, nausea, vomiting, weakness, hyperthermia, peripheral vasodilation. Reaches and infect multiple organs or areas of the body: Criteria: temp - <36c or >38c, hr - >90 bpm, rr - >20/min or paco2 <32mmhg, wbc - <4000/mm3, >12000/mm3 or 10% bands (immature neutrophils) Wound management plan - observation and monitoring. Initial response to injury (day 1-4 post injury)
