- 1、本文档共119页,可阅读全部内容。
- 2、原创力文档(book118)网站文档一经付费(服务费),不意味着购买了该文档的版权,仅供个人/单位学习、研究之用,不得用于商业用途,未经授权,严禁复制、发行、汇编、翻译或者网络传播等,侵权必究。
- 3、本站所有内容均由合作方或网友上传,本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺!文档内容仅供研究参考,付费前请自行鉴别。如您付费,意味着您自己接受本站规则且自行承担风险,本站不退款、不进行额外附加服务;查看《如何避免下载的几个坑》。如果您已付费下载过本站文档,您可以点击 这里二次下载。
- 4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等,请点击“版权申诉”(推荐),也可以打举报电话:400-050-0827(电话支持时间:9:00-18:30)。
查看更多
* Severe sepsis is sepsis plus signs and symptoms of acute organ dysfunction, hypoperfusion, or hypotension. Hypoperfusion and perfusion abnormalities may include, but are not limited to, lactic acidosis, oliguria, or an acute alteration in mental status. As shown on the next slide, organ dysfunction may involve any of the following alone or in combination: Cardiovascular system Kidney Respiratory system Liver Hematologic (blood, coagulation) Central nervous system Presence of an otherwise unexplained metabolic acidosis Bone RC, Balk RA, Cerra FB, et al. Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. Chest. 1992;101:1644-55. * Following identification of a patient with sepsis, the clinician must assess the patient for the presence of acute organ dysfunction (severe sepsis). The presence of acute organ dysfunction is often recognized clinically by the patient’s presenting signs and symptoms. However, in some instances laboratory data or results of invasive monitoring will confirm the diagnosis of organ dysfunction. The illustration of the patient on this slide has arrows pointing to various organs that might provide clues to the presence of organ dysfunction. Indications of organ dysfunction include: Central nervous system: altered consciousness, confusion, psychosis, delirium Respiratory system: tachypnea, hypoxemia, oxygen saturation 90%, decreased ratio of arterial oxygen vs inspired oxygen Liver: jaundice, increased liver enzymes, hypoalbuminemia, increased prothrombin time Cardiovascular: tachycardia, hypotension, increased central venous pressure, increased pulmonary artery occlusive pressure Kidney: oliguria, anuria, increased creatinine Hematological: thrombocytopenia, abnormal coagulation tests, decreased levels of Protein C, increased D-dimers * Standard care of the patient with severe sepsis consists of a number of medical (and sometimes surgical) interventions intended to normalize physiology and el
您可能关注的文档
- 国际商业地产Block街区案例.ppt
- E+LKRS60探边系统说明书.pdf
- 哈里伯顿封隔器讲义“经典”.pdf
- 海底捞规课制度标准薪酬与福利制度.ppt
- 2010年度电动车用动力蓄电池组性能测试标准HEV锂离子.pdf
- FABE销售法则(销售必学)44026.ppt
- 2010软磁材料磁滞回线和基本磁化曲线测量.ppt
- 好啊网公司高层应掌握财务报表分析工具与投融资管理实务.ppt
- GB500112010(2016版)建筑抗震设计规范课件.pptx
- 和利时透平压缩机系统T880系统内.ppt
- 2024年04月山东菏泽郓城县人民医院青年人才引进58人笔试历年典型题及考点剖析附带答案含详解.docx
- 2024年04月山西省中阳县事业单位2024年度招才引智笔试历年典型题及考点剖析附带答案含详解.docx
- 2024年04月山西忻州市保德县部分事业单位招考聘用59人笔试历年典型题及考点剖析附带答案含详解.docx
- 2024年04月山东省莘县公安局2024年第二季度招录警务辅助人员笔试历年典型题及考点剖析附带答案含详解.docx
- 2024年04月山东省金乡县公证处2024年公开招考2名工作人员笔试历年典型题及考点剖析附带答案含详解.docx
- 2024年04月山西吕梁市度教育局所属事业单位招考聘用59人笔试历年典型题及考点剖析附带答案含详解.docx
- 2024年04月山西白求恩医院山西医学科学院招考聘用19人笔试历年典型题及考点剖析附带答案含详解.docx
- 2024年04月山西省卫生健康委发展研究中心招考聘用2人笔试历年典型题及考点剖析附带答案含详解.docx
- 2024年04月山西省医学会招考聘用笔试历年典型题及考点剖析附带答案含详解.docx
- 2024年04月山东菏泽巨野县招考聘用教师7人笔试历年典型题及考点剖析附带答案含详解.docx
文档评论(0)