Term
|
Definition
>2 of following:
>38, <36 C
<90 BPM
>20 RR
WBC >12000 or <4000
Bands >10% |
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Term
|
Definition
| SIRS with a confirmed infection |
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Term
|
Definition
Sepsis w/ >1 s/s of:
Organ dysfunction
Low BP
Poor perfusion |
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Term
|
Definition
Trendelenburg
Lg IV 14-16 g
NS, type/cross, O2 |
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Term
|
Definition
Continue phase 1 tx
Crystalloids
Colloids
Blood products |
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Term
|
Definition
Electrolytes
Replace blood
Increase UOP
ISO/Hyper to get H20 to enter plasma |
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Term
|
Definition
|
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Term
|
Definition
|
|
Term
| Crystalloids considerations |
|
Definition
S/S circulatory overload
S/S hyperNa
Foley for I/O
Fluids = Renal perfusion |
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Term
|
Definition
Large molecules
Increase oncotic pressure |
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Term
|
Definition
Dramatic fluid shift; HRF overload
High BP, dyspnea, crackle, low SPO2
HRF anaphylaxis w: Plasma proteins, Dextran, Hetastarch |
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Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
Lowers viscosity
2 g/min lg bore IV
Caution: Renal |
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Term
|
Definition
Increases PT/PTT
Flu symptoms 3/5 days post tx |
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|
Term
|
Definition
For hypovolemic shock or stabilized anaphylactic shock
Serum albumin 5&25% (Low RF allergic reaction) |
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Term
|
Definition
Increase contractile strength
For later shock
Dig, Dobutamine, Dopamine |
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|
Term
|
Definition
B1 cardioselective
Cardiogenic shock
Can cause dysrhythmias
Increases CO/UOP |
|
|
Term
| Dobutamine administration |
|
Definition
IV 2.5-4 mcg/kg/h x 72h
1/2 life 2 mins. |
|
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Term
|
Definition
Norepinephrine, Neosinephrine
Severe shock of IVF ineffective
Rapid/extreme vasoconstriction |
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Term
| NE/Levophed (vasopressor) |
|
Definition
B1, + inotrope
Correct hypovol first! (renal damage) |
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Term
|
Definition
Extravasation
Inject 5-10 mg Phentolamine + 10-15 mg NS all around site |
|
|
Term
|
Definition
Duration 1-2 min
Monitor BP, RR, HR, ECG
OD: Photophobia, blurry vision |
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Term
|
Definition
Beta blockers lower NE
TCA's lower NE |
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