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NRSG 421 Sepsis & Prioritization Exam Questions And Correct Answers
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NRSG 421 Sepsis & Prioritization Exam QuestionsAnd Correct Answers
what is sepsis?
life-threatening organ dysfunction caused by a dysregulated host response to infection
MUST have SIRS and and confirmed source of infection to be considered sepsis
what is the hallmark sign(s) of septic shock?
- red skin
- vasodilation with low blood pressure
- elevated heart rate
ݯremodel
what can lead to septic shock?
the body's reaction to an infection in the bloodstream
-sets off the inflammatory response but it is now circulating through the body and is now
systemic
who is most at risk for septic shock?
-anyone with a suppressed immune system (chemo patients, immune suppressant
patients)
-extreme age (infants & elderly)
-people how have received an organ transplant
-surgical prodecure
-indwelling devices (foley, central line, trach)
, -sickness (chronic = diabetes, alcoholism, renal failure, liver failure)
at what stage does sepsis progress into septic shock?
-vasodilation-from release of toxin by the bacteria and the immune system tries to
respond
-white blood cells make capillary permeability increase-causing blood pooling= BLOOD
CLOTS
-microthombi are throughout whole body-especially in the organs which impacts how
well the organs function and respond to stimuli-this then kills off small portions of
organs
- tissue poor perfusion and distributive shock
why a pt in septic shock is bright read?
- fever
- vasodilation
what happens to the clotting factors during septic chock?
thay are being used up by the microthombi that forms
what is DIC?
disseminated intravascular coagulation
this is as a result of the body trying to respond to breaking down the systemic
microthombi
what is the best way to answer a question on the NCLEX?
ask yourself what do you know about the patient!
what do I need to look for or ask for that will point me in the right direction
what are the possibilities for the diagnoses
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