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Pediatrics Ch. 23.

Sepsis, Causes of LOC

QuestionAnswer
What is sepsis Systemic response to infection with bacteria and can also result from viral and fungal infections, and causes a systemic inflammatory response syndrome due to the endotoxin of the bacteria that causes tissue damage
What can untreated sepsis result in Septic shock, Multiorgan dysfunction syndrome, Death
Which children are at increased risk for developing sepsis Immunocompromised, Neutropenia, or in Intensive care
How does sepsis manifest Fever, chills, tachypnea, tachycardia, neurological signs
Why is decreased blood pressure not used to diagnose septic shock An infant’s body compensates for poor circulation and tissue perfusion by increasing the heart rate and vasoconstriction of peripheral blood vessels
What does hypotension in a child indicate The body is unable to compensate and cardiorespiratory arrest is about to occur
What will laboratory tests for a patient with sepsis include Positive blood cultures, Reduced fibrinogen and thrombocytes, Presence of immature white blood cells
What are the ominous signs for sepsis Hypotension, Neutropenia
What is neutropenia Neutrophil count below 1000/mm^3
What is Pao2 Partial pressure of oxygen in arterial blood
What is Paco2 Partial pressure of carbon dioxide in arterial blood
What are causes of altered level of consciousness Pao2 < 60, Paco2 > 45, Low blood pressure causing cerebral hypoxia, Fever, Drugs, Seizures, Increased ICP
What can increase oxygen need by 10% 1 degree rise in fever
What does a 1 degree rise in fever cause 10% increase in oxygen need
What drugs can cause an altered LOC Sedatives, Antiepileptics
Which stage of seizures cause an altered LOC Postictal state
What vaccines can prevent sepsis H. influenza type B (Hib), Pneumococcal conjugate vaccine (PCV) between 2 and 4 years of age
Created by: futurenurse
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