SIRS
Published on Nov 24, 2015
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PRESENTATION OUTLINE
DISCOVERY
- American College of Chest Physicians
- American Society of Critical Care Medicine
- Clarified the treatment and diagnosis
- 1992 defined the origin of noninfectious and infectious
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INFECTIOUS CAUSES
- Complication in surgery
- Pulmonary embolism
- Adrenal insufficiency
- Complicated aortic aneurysm
- Cardiac tamponade
SYMPTOMS
- Fever over 38 degrees C
- Fever under 36 degrees C
- Heart rate more than 90 beats per min.
- More than 20 breaths per min.
SYMPTOMS
- Abnormal white blood cells count
- Arterial carbon dioxide tension less than 32mm Hg
HOW DO YOU GET IT?
- Sepsis leads to SIRS
- Only when infectious
- Septic shock
- Sever sepsis
SEPTIC SHOCK
SEVER SEPSIS WITH HYPOTENSION & MUST MAINTAIN BP
SEVER SEPSIS
SEPSIS WITH ORGAN HYPOPERFUSION
TREATMENT (SURGERY)
- Drain abcesses of infection
- Prosthetic devices are removed
- Patients have appropriate surgeries
- Rarely needed
TREATMENT (DIET)
- Enternal feedings
- Argnine
- Omega 3 fatty acids
TREATMENT (ACTIVITY)
- Patients are in bed
- Medical activities to prevent complication(DVT)
TREATMENT (TRANSFER)
- Maintains organ function
- Prevents complications
- Includes interventions
- Good nurse care prevents skin breakdown
- Therapy ex:insulin and steroids
BACKGROUND INFORMATION
- Related to inflammation & organ dysfunction and failure
- Diagnosed when they have 2 or more symptoms
- Cause acute lung injury and shock
- Cause acute kidney injury
- Cause multiple organ dysfunction syndrome
