Term
| how quickly must shock be treated to increase survival |
|
Definition
| admin fluids >60 mL/Kg within FIRST hour or presentation significantly reduces mortality in peds |
|
|
Term
| common causes of cardiogenic shock |
|
Definition
| congenital heart dx, recent cardiac surgery, recent viral illness, late septic shock |
|
|
Term
| early onset empiric neonatal sepsis treatment |
|
Definition
| AMP + aminoglycoside OR 3rd gen Cef (except ceftriaxone--> kernicterus) |
|
|
Term
| LATE onset empiric neonatal sepsis |
|
Definition
| if discharged, same as home; if hospitalized, Ceftaxime + vanco (staph) OR cefotaxime + aminoglycoside (ecoli, klebsiella,hflu) |
|
|
Term
| factors affecting treatment of neonatal sepsis |
|
Definition
| alterations in PK/PD within peds, antibiotic spectrum of activity, site infection, pathogen, past ABx history, regional/ institutional resistance, potential toxicities |
|
|
Term
| venous return is decreased |
|
Definition
| lack of fluid in the vascular space, causing decreased ventricular filling |
|
|
Term
| ventricals receive less blood |
|
Definition
|
|
Term
|
Definition
| compensating for diminished stroke volume and results in poor cardiac output and blood pressure |
|
|
Term
| fluid and blood loss continues |
|
Definition
| heart rate will not be able to compensate for decreased SV |
|
|
Term
|
Definition
| results in inadequate tissue perfusion |
|
|
Term
| hypovolemia's impact on shock: |
|
Definition
| decreased pre-load and loss of volume (blood/ water loss external/internally) |
|
|
Term
|
Definition
| primary cause of shock in peds worldwide |
|
|
Term
|
Definition
| trauma, vomiting, diarrhea, poor appetite, diabetes |
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|
