2. A nurse is caring for a patient with shock of unknown etiology whose hemodynamic…
These cytokines cause inflammation because they cause vasodilatation which makes blood rush to the injured site.…
This article demonstrates Kaiser Permanente’s adaptation of this model toward the improvement of morbidity in patients with sepsis. They developed a team to formulate a standardized approach to the problem…
Our patients vital sign had stabilized and at that point she did not meet the sepsis criteria rolling out sepsis and consequent organ failure as a cause of the thrombocytopenia.…
• Can develop quickly following major surgery, trauma, or severe burns OR slowly in the case of infection the turns into sepsis.…
Over time, the build-up of Trypsin and uncontrolled Neutrophils destroyed your body. Suddenly you’re bleeding excessively, you’re sick from an excess of toxins, and your liver is shot. That was me. You can’t breathe, your lungs won’t take in the air you need and you need continuous oxygen to survive. Your lungs are destroyed and you can thank me.…
The Immune system is one of the most important parts of the human body. Its role is to protect us from outside dangers such as pathogens and disease and to keep the body healthy. The immune system protects the body from disease by having a complex system of organs and cells to keep the body safe. The first barrier of the immune system and of the body is the skin which keeps out pathogens from entering the body, but if there is a cut in the body, the skin can no longer defend against the pathogen, so next comes inflammation which helps to limit the spread of the disease by causing swelling and a large amount of white blood cells to go to the injured parts of the body. Another really important…
Acute respiratory distress syndrome (ARDS) - lung inflammation seen at the level of the alveolar capillary membrane with increased vascular permeability.…
P5 – Identify the risk factors for each of the 3 malfunctions in assignment 3…
I am going to try to explain the British Colonies in America to an English citizen. I will emphasize the differences and the similarities of the northern, middle, and southern colonies. I am going to emphasize this by explaining the topics of origin, religion, government, economics, labor, and social life of the colonies. I will also explain how the differences and similarities of the colonies effected the relationship between New England and the Revolution and how the French and Indian war effected the colonies. Lastly, I will address how this can still be observed today.…
Our bodies have abundant surface area that, if compromised, can expose us to morbidity and potential mortality. Thankfully, through our amazingly efficient immune system, within hours, sometimes minutes, of our initial inoculation by infection or foreign substances, our bodies mount a swift, tactical response. Proteins and white blood cells are beckoned to the battle by the sentinel cytokines which create a cascade of events to stop, surround and eliminate the enemy. The neutrophils, white blood cells born to fight and on continual alert in the blood stream and lymph system, line up like soldiers and migrate from blood vessels through tissues to the site of the conflict. Though temperature and inflammation play supporting roles, the neutrophil is the consummate commando. It has the innate ability to recognize good from evil, a lesson we could all stand to learn from, and through a process called phagocytosis envelop the invader and destroy it, laying waste to the cell contents, causing fluid accumulation and eventually the demise of both pathogen and protector. Nevertheless, without hesitation or reservation, these cells obey the call to fight.…
Rivers, E, B Nguyen, S Havstad, J Ressler, A Muzzin, B Knoblich, E Peterson, and M Tomlanovich. "Early Goal-Directed Therapy in the Treatment of Severe Sepsis and Septic Shock." The New England Journal of Medicine. 345.19 (2001): 1368-77. Print.…
The word sepsis is commonly used to diagnose patients, but the debate continues as to the true definition. The word sepsis comes from the Greek meaning decay or to putrefy.” (A). Sepsis is a general term that is applied to patients that develop clinical signs of infection. Unlike other diseases sepsis is not diagnosed by the location or type of microbe involved in the infection. Some of the criteria used to diagnose sepsis are abnormalities of body temperature, pulse, respirations, and white blood cell counts. Some symptoms that are common in septic patients are fever, hypothermia, heart rate greater than 90 beats per minute, altered mental status, swelling of the extremities, and high blood glucose in diabetic patients. Sepsis is considered severe when there is organ dysfunction involved. Some examples of this kind of dysfunction are low oxygen level, low urine output; high levels of creatnine in the blood, absent bowel sounds, and low platelet count in the blood. The scary fact about sepsis is that it can occur in incidents as minor as…
Bacteria can cause neonatal sepsis and can be dangerous to a newborn baby. Neonatal sepsis is a clinical condition of bacteremia described by systemic signs and symptoms of infection in the first month of newborn life. Bactria can transfer in several ways, such as during birth, pregnancy, and from the new surrounding of environment after birth. Newborn infants are at much higher risk of getting sepsis than children or adult because their immune system is not developed and they cannot fight any infection or other diseases. It has taken so many lives of innocent newborn babies. The mortality rate is continuously increasing, especially in third world countries such as Africa. The earlier the sign and symptoms are recognized and diagnosis, the better the treatment option and chance of survival. Neonatal sepsis can be controlled and it is a preventable disease.…
Superantigens have the unique ability to bind to both T cells, as well as MHC class II molecules (MHC=major histocompatibility complex). Ultimately, the goal is to bring these two types of molecules together so that they can effectively activate even more T cells (“up to 20% of all T cells”) in a non-specific manner due to the superantigen binding to the Variable B region of T cells. Cytokines, which are immune system proteins which are secreted for the purpose of carrying signals amongst cells, are released as a result of this increased activation of T cells and may even induce toxic shock. This Toxic Shock Syndrome is due to Staphlyococcus aureus, characterized by “erythematous eruption and high fever”. An important cytokine molecule, TNF-alpha (tumor necrosis factor alpha), is secreted amongst these cytokines and plays a vital role in the inflammatory response of the body. An over secretion of TNF-alpha may result “endothelial and vascular smooth muscle changes, which manifests as hypotension, shock, and features of sepsis.” An example of a bacterium that elicits a superantigen response in humans is the bacterium Streptococcus pyogenes.…