Author Question: Which of the following clinical manifestations is not suggestive of systemic inflammatory response ... (Read 122 times)

Pea0909berry · **on:** Jun 25, 2018

Which of the following clinical manifestations is not suggestive of systemic inflammatory response syndrome (SIRS)?

a. Temperature of 37.5 C
b. Heart rate of 95 beats/min
c. Respiratory rate of 24 breath/min
d. White blood cell (WBC) count of 15,000 cells/mm3

Question 2

A patient with type 2 diabetes is admitted. He is very lethargic and hypotensive. A diagnosis of hyperglycemic hyperosmolar syndrome (HHS) is made based on laboratory values of

a. decreased serum glucose and increased serum ketones.
b. increased urine ketones and decreased serum osmolality.
c. increased serum osmolality and increased serum potassium.
d. increased serum osmolality and increased serum glucose.

JCABRERA33 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

A
SIRS occurs when two or more of four clinical manifestations are present in the patient at high risk. These manifestations are temperature less than 36 C or greater than 38 C, heart rate greater than 90 beats/min, respiratory rate greater than 20 breaths/min or PaCO2 less than 32 mm Hg, or WBC greater than 12,000 cells/mm3 or less than 4000 cells/mm3 or greater than 10 immature (band forms).

Answer to Question 2

D
Laboratory findings are used to establish the definitive diagnosis of HHS. Plasma glucose levels are strikingly elevated (greater than 600 mg/dL). Serum osmolality is greater than 320 mOsm/kg.