Surviving Sepsis

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1. The goal of the Surviving Sepsis Campaign is to reduce the global mortality rate from Severe Sepsis.

True

False

About This Quiz

The 'Surviving Sepsis' quiz assesses knowledge on early recognition and management of severe sepsis. It covers protocols for timely treatment, understanding of sepsis impact, and initial steps in emergency care, aiming to enhance skills in reducing sepsis-related mortality.

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2. Severe sepsis may be manifested as:

Altered mental status

Lactic acidosis

Oliguria

All of the above

3. It is generally recommended to wait until the patient is Admitted to the ICU before implementing the Severe Sepsis Protocol.

True

False

4. Blood cultures should be obtained and the first antibiotic administered within three hours of Emergency Department admission.

True

False

5. Adult death is the United States from sepsis are about equal to deaths that occur from which diagnosis?

Breast cancer

HIV/AIDS

Acute myocardial infarction

Trauma

6. What is the first step in the initial management of this patient?

Antibiotic therapy

Intravenous (IV) fluid resuscitation

Supplemental oxygen and airway management

Vasopressor therapy with dopmaine

7. The initial sepsis resuscitation bundle in adult patients with hypotension calls for a bolus of which amount and kind of intravenous fluid resuscitation?

20ml/kg of crystalloid fluid

20ml/kg of colloid fluid

40ml/kg of crystalloid fluid

40ml/kg of colloid fluid

8. Questions 5 and 6 refer to the following case.

A 70-yesr-old man presents to the emergency department with a 2-day history of fever, chills, cough, and right sided pleuritic chest pain. On the day of admission, the patient's family noted that he was more lethargic and dizzy and was falling frequently. The patient's vital signs are: temperature, 101.5 F; heart rate, 120 bpm; respiratory rate, 30 breaths/min; blood pressure, 70/35mm hg; and oxygen saturation as measured by pulse oximetry, 80% without oxygen. A chest x-ray shows a righth lower lobe infiltrate.

The patient's condition can be best defined as which of the following?

Multi-organ dysfunction syndrome

Sepsis

Septic shock

Severe sepsis

9. Blood cultures are frequently negative in cases of septic shock

True

False

10. Which of the following statements regarding blood cultures and antibiotics is false?

Begin with a broad-spectrum antibiotic until the causative organism and its antibiotic susceptibilities are identified.

Failure to promptly initiate appropriate antibiotic therapy has adverse consequences on outcome.

Gram positive organisms account for most cases of septic shock

Antibiotics should be started after the appropriate cultures have been obtained.