Final Exam

Question 1

How can you tell sepsis is progressing into septic shock?

Answer 1

• Persistent hypotension (<90 SBP) that doesn’t respond to IVF
  *Needs vasopressors to maintain MAP > 65
  *Serum lactate > 2 mmol /L

Question 2

Which types of shock are distributive?

Answer 2

Anaphylactic, Neurogenic, Septic

It means there is an issue with the distribution of blood flow in the small blood vessels of the body.

Question 3

In this catastrophic clotting disorder, the body clots everywhere at once (tiny clots in the microcirculation), using up all its clotting factors and platelets, then starts bleeding uncontrollably.

Answer 3

DIC (Disseminated Intravascular Coagulation)

Question 4

What triggers DIC?

Answer 4

Sepsis 🚨 (most common)

Major trauma

Massive hemorrhage

Obstetric complications (placental abruption, amniotic fluid embolism)

Severe burns

Malignancy

Severe transfusion reactions