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diagnosis management sepsis checklist acidosis anesthesia anesthesiology cardiogenic cardiology causes chf criticalcare dengue differential elevation falls fever heartfailure intraoperative lactic
SEPSIS AND SEPTIC SHOCK DEFINITION AND PATHOPHYSIOLOGY • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
Life-threatening organ dysfunction ... = 65 mm Hg and lactate ... mmol/L despite fluids ... : Sepsis + Fluid ... and assess fluid
Decision tree of FALLS-protocol (Fluid Administration Limited by Lung Sonography). Lung Ultrasound in the hemodynamic assessment
FALLS-protocol (Fluid ... assessment of Shock ... According to Weil classification ... FALLS #protocol #algorithm ... #Fluids #POCUS
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
by excretion (e.g ... its metabolism (e.g ... / hypoxemia -> focus ... treatments include fluid ... #typea #typeb #classification
Systemic Inflammatory Response Syndrome (SIRS) • Non-specific (infections vs non-infectious) • ≥2 of the following: o Temp >38°C or <36°C o HR >90 bpm o RR
Septic Shock • ... o Lactate >2 mmol ... 1 hour) • IV fluids ... (30 mL/kg crystalloid ... #lactate #MAP
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia Severe sepsis (hypotension persisting after initial fluid challenge of
after initial fluid ... cause) or septic shock ... with end organ dysfunction ... to further aid fluid ... cultures if possible (eg
Severe Heart Failure & Cardiogenic Shock - Management Checklist Evaluation - EKG & echocardiography
& Cardiogenic Shock ... Evaluation - EKG ... - Troponin, Lactate ... severe or w/ organ dysfunction ... the volume - Fluid
Modified dengue severity classification, PAHO/WHO Dengue without warning signs - DNWS: • Person who lives or has
dengue severity classification ... and no apparent focus ... Fluid accumulation ... Shock or respiratory ... Shock evidenced
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