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Define sepsis
Is a life-threatening organ dysfunction caused by a dysregulated host response to infection
Define Septic Shock
Is a subset of sepsis with persistent hypotension and tissue hypo perfusion despite adequate fluid resuscitation.
How is septic shock identified?
MAP <65 mmHg despite fluids
Serum lactate > 2mmol/L
What are the main events for the pathophysiology for septic shock
Infection enters the blood stream —> bacteria releases endotoxins
Immune response is triggered:
cytokines released cause vasodilation
increase in capillary permeability which increases leakage of fluid from vessels
The results in Hypotension (due to vasodilation, hypoperfusion( due to less oxygen in tissues) and Organ dysfunction (due to lack of oxygen and inflammation)
What would the vital signs look like
Increased HR
Increased RR
Decreased BP
Normal or elevated Temp
What is the treatment for septic shock
IV fluids and vasopressors