Ebook Body fluid management from physiology to therapy: Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Ebook Body fluid management from physiology to therapy: Part 2
Ebook Body fluid management from physiology to therapy: Part 2
Sepsis and Septic Shock10Rita Cataldo, Marialuisa Vennari and Felice Eugenio AgroSepsis and septic shock are major health issues involving millions of Ebook Body fluid management from physiology to therapy: Part 2f people worldwide each year.10.1Definitions10.1.1Systemic Inflammatory Response Syndrome (SIRS)Systemic Inflammatory Response Syndrome (SIRS) is a condition often observed among critically ill patients. This syndrome is sustained by proin-flammatory cytokines and factors that mediate endothelial ac Ebook Body fluid management from physiology to therapy: Part 2tivation and adhesion resulting in capillary leakage. Clinically, SIRS is diagnosed based on the presence of two or more of the following criteria:•boEbook Body fluid management from physiology to therapy: Part 2
dy temperature < 36°c or > 38°c 111;•heart rate > 90 beats per minute:•tachypnea (high respiratory rate), with > 20 breaths per minute or an arterial Sepsis and Septic Shock10Rita Cataldo, Marialuisa Vennari and Felice Eugenio AgroSepsis and septic shock are major health issues involving millions of Ebook Body fluid management from physiology to therapy: Part 2s/L), or the presence of > 10% immature neutrophils (band forms) |2, 3|.10.1.2Capillary LeakageCapillary leakage is a condition of increased capillary permeability to water, ions, and macromolecules. Generally, it is caused by an alteration of capillary per-R. Cataldo (0)Director of the Anesthesia D Ebook Body fluid management from physiology to therapy: Part 2epartmentUniversity School of Medicine Campus Bio-Medico of Rome. Rome Italye-mail: r.cataldo@unicainpus.itF. E. .Agrò (cd.). Body Fluid Management,DOEbook Body fluid management from physiology to therapy: Part 2
I: 10.1007/978-88^70-2661-2_ 10 © Springer-Verlag Italia 2013137138R. Cataldo etal.mcability due to an inflammatory response such as SIRS. The result Sepsis and Septic Shock10Rita Cataldo, Marialuisa Vennari and Felice Eugenio AgroSepsis and septic shock are major health issues involving millions of Ebook Body fluid management from physiology to therapy: Part 2 the 1SS (third space syndrome), resulting in hypovolemia and interstitial edema (especially pulmonary edema).10.1.3SepsisSepsis is a form of SIRS that is caused by an infection 14].10.1.4Severe SepsisSevere sepsis is defined as sepsis and sepsis-induced organ dysfunction or tissue hypoperfusion (4Ị Ebook Body fluid management from physiology to therapy: Part 2.10.1.5Sepsis-Induced HypotensionSepsis-induced hypotension is defined as [4]:•a systolic blood pressure (SBP) < 90 mm Hg or•mean arterial pressure <Ebook Body fluid management from physiology to therapy: Part 2
70 mm Hg or•a SBP decrease > 40 mm Hg or•a SBP < 2 SD below normal for the patient’s age in the absence of other causes of hypotension.10.1.6Sepsis-InSepsis and Septic Shock10Rita Cataldo, Marialuisa Vennari and Felice Eugenio AgroSepsis and septic shock are major health issues involving millions ofSepsis and Septic Shock10Rita Cataldo, Marialuisa Vennari and Felice Eugenio AgroSepsis and septic shock are major health issues involving millions ofGọi ngay
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