Sepsis and MODS Flashcards
7 cards from real CCRN practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Sepsis and MODS flashcards as text
According to Surviving Sepsis Campaign guidelines, broad-spectrum antibiotics should be administered within what timeframe for patients with septic shock?
Answer: Within 1 hour of recognition
Antibiotics should be given within 1 hour of recognizing septic shock to reduce mortality.
A patient in septic shock remains hypotensive after adequate fluid resuscitation. Which vasopressor is the recommended first-line agent?
Answer: Norepinephrine
Norepinephrine is the first-line vasopressor for septic shock per current guidelines.
Which lactate value best indicates tissue hypoperfusion and increased mortality risk in sepsis?
Answer: Greater than 2 mmol/L
A lactate above 2 mmol/L signals tissue hypoperfusion and warrants resuscitation.
The initial recommended crystalloid fluid bolus for sepsis-induced hypoperfusion is at least:
Answer: 30 mL/kg
At least 30 mL/kg of IV crystalloid is recommended within the first 3 hours.
Which crystalloid is generally preferred for large-volume resuscitation in sepsis to avoid hyperchloremic acidosis?
Answer: Balanced solutions like lactated Ringer's
Balanced crystalloids are favored over normal saline to reduce hyperchloremic metabolic acidosis.
A septic patient develops new confusion, increased respiratory rate, and a SBP of 88 mmHg. Using qSOFA, how many criteria are met?
Answer: 3
Altered mentation, RR ≥22, and SBP ≤100 are all three qSOFA criteria.
Which adjunctive therapy is recommended for septic shock patients who remain hemodynamically unstable despite fluids and vasopressors?
Answer: IV hydrocortisone
IV hydrocortisone is suggested for refractory septic shock requiring ongoing vasopressors.