Exam 7: Critical Care Related to the Systemic Inflammatory Response

Erin is an 81-year-old lady who has fallen and broken her neck of femur. She has had surgery 2 days ago to fix this. She has an IV cannula leftover from surgery that isn't being used and a urinary catheter until she is able to get out of bed and be more mobile to the toilet. -If Erin's NEWS2 score is 10 would you consider sepsis?

Erin is an 81-year-old lady who has fallen and broken her neck of femur. She has had surgery 2 days ago to fix this. She has an IV cannula leftover from surgery that isn't being used and a urinary catheter until she is able to get out of bed and be more mobile to the toilet. -What causes sepsis?

Arif (68) is feeling unwell at home. He feels hot but is shivering and very tired. He is normally well although he does smoke. He is producing green sputum, which is new, and he is feeling breathless. He has pneumonia. -Why is Arif shivering?

Erin is an 81-year-old lady who has fallen and broken her neck of femur. She has had surgery 2 days ago to fix this. She has an IV cannula leftover from surgery that isn't being used and a urinary catheter until she is able to get out of bed and be more mobile to the toilet. -On calculating Erin's NEWS2 score, what would you do?

Erin is an 81-year-old lady who has fallen and broken her neck of femur. She has had surgery 2 days ago to fix this. She has an IV cannula leftover from surgery that isn't being used and a urinary catheter until she is able to get out of bed and be more mobile to the toilet. -Based on the presenting case about and symptoms provided, which of the following are risk factors for Erin to be considered for sepsis (tick all that apply)

Erin is an 81-year-old lady who has fallen and broken her neck of femur. She has had surgery 2 days ago to fix this. She has an IV cannula leftover from surgery that isn't being used and a urinary catheter until she is able to get out of bed and be more mobile to the toilet. -What might be the suspected cause or site of Erin's sepsis?

Erin is an 81-year-old lady who has fallen and broken her neck of femur. She has had surgery 2 days ago to fix this. She has an IV cannula leftover from surgery that isn't being used and a urinary catheter until she is able to get out of bed and be more mobile to the toilet. -Why is there a loss of fluid from the circulation in sepsis?

Arif (68) is feeling unwell at home. He feels hot but is shivering and very tired. He is normally well although he does smoke. He is producing green sputum, which is new, and he is feeling breathless. He has pneumonia. -What effect does his pneumonia have on oxygen uptake in the lungs?

Erin is an 81-year-old lady who has fallen and broken her neck of femur. She has had surgery 2 days ago to fix this. She has an IV cannula leftover from surgery that isn't being used and a urinary catheter until she is able to get out of bed and be more mobile to the toilet. -Erin has the following observations, Respiratory rate - 22/min; SpO₂ - 94% on nasal cannula oxygen at 3 lpm; Systolic blood pressure - 155 mmHg; Heart rate - 96 bpm; Conscious level - mild confusion (previously she was cognisant); Temperature - 35.8C. What is her NEWS 2 score?