Term
| What are the causes of UTI? |
|
Definition
Inadequate urine flow
Incomplete emptying
Reflux |
|
|
Term
| What are the sources of CAUTI? |
|
Definition
Biofilms
Statis/Contamination |
|
|
Term
| How do you prevent CAUTI? |
|
Definition
No unnecessary catheterization
Aseptic Technique
Smallest gauge catheter
Prompt Removal
Peri-Care several times per day
Maintain a closed system
Encourage dependent drainage |
|
|
Term
| When is a Foley indicated? |
|
Definition
Obstructions
Genitourinary studies
Stage 3/4 pressure ulcers if incontinent
Hopsice/Palliative care
Flaccid Bladder |
|
|
Term
| When is a foley NOT indicated? |
|
Definition
|
|
Term
|
Definition
| Proinflammatory mediators in response to infection that have spread beyond the localized site-->a generalized response |
|
|
Term
|
Definition
| GLOBAL generalized inflammatory response of many or all major organ systems triggered by injury or infection. |
|
|
Term
|
Definition
| GLOBAL generalized inflammatory response of many or all major organ systems triggered by injury or infection. |
|
|
Term
|
Definition
| Sepsis associated with organ dysfxn/hypotension or hypoperfusion |
|
|
Term
|
Definition
| Sepsis with Hypotension DESPITE adequate fluid resuscitation and associated with organ dysfunction |
|
|
Term
| What is the pathophys of sepsis? |
|
Definition
Microcirculatory injury to endothelium all over the body
Vasodilation causes decreased BP
Capilary Plugging |
|
|
Term
| What happens to ADH secretion during sepsis? |
|
Definition
| it DECREASES, less able to retain water-->hypotension (in combo with vasodilation) |
|
|
Term
| What are the clinical signs you should be suspcious of when detecting shock? |
|
Definition
Fatigue
INcreasing pain levels
Decreasing urine output
Increasing HR/RR/O2 needs
Decreasing Blood Pressure
Decreasing O2 with increasing FiO2
PAIN and AGITATION!! |
|
|
Term
| Hypopefusion causes _____ skin from spotty vasodilation. |
|
Definition
|
|
Term
| Who is at MORE risk for sepsis? |
|
Definition
Elderly, Higher Body weight
(All critically ill, pneumonia, surgical pts, chronic disease) |
|
|
Term
| Lactate is an objective measure of _____, a change in delivery of oxygen to the tissues. |
|
Definition
|
|
Term
| What are some initial immedeate therapies in a Sepsis Bundle? |
|
Definition
Measure Sr Lactate
Obtain urine and blood cultures before ABO
Administer broad spectrum ABO
Administer FLUID CHALLENGE
Apply Vasopressors for Hypotension not responding to initial fluid resuscitation |
|
|
Term
| What are five ongoing interventions for sepsis? |
|
Definition
TWO large bore IV sites
CBC/Differiential
O2 therapy
Central Venous Catheter
Foley Cath |
|
|
