Question 1
What should the nurse realize when meeting the nutritional needs of a patient experiencing sepsis?
◦ Enteral feedings are often avoided because hyperglycemia often results from feedings.
◦ TPN is the preferable means to administer nutrition.
◦ Enteral feedings prevent translocation of bacteria from the gastrointestinal tract.
◦ Nutritional needs are usually addressed after 72 hours in order to conserve energy expenditure.
Question 2
Which statement best describes the pathophysiology of multiple organ dysfunction syndrome (MODS) in a patient with sepsis?
◦ Circulating pathogens cause destruction of organs, resulting in MODS.
◦ Increased microvascular bleeding causes MODS.
◦ The primary cause of MODS is decreased blood pressure.
◦ Endothelial dysfunction is a primary cause of MODS.
Kawasaki Syndrome
A typical bank statement.
Example of Reconciling a Bank Statement
Example of Reconciling a Bank Statement Cont.
Target Organ Effects
General adaptation syndrome