1. What is shock?: Answer Widespread abnormal cellular metabolism occurring when oxygenation and tissue perfusion needs to maintain cell function 2. Sepsis: Answer Bodys amplified response to infection that damages small vessels that deliver oxygen 3. What happens in the left shift?: Answer Shift to the left happens at the neutrophils progressively become more immature The more immature cells meansthe body is using all the good cellsto fight infection Newborns will sometimes have normal elevated WBC so make sure to look at neutrophils 4. Sepsis s/s: Answer Temp < 96> 100.4, RR >20, HR >90, WBC <4000>12000, Bands >10% High CRP- inflammatory response Hypotension Organ dysfunction Low O2 low urine output High creatinine Coagulation abnormalities Absent bowel sounds Low platelets High bilirubin Tissue perfusion High lactate in blood Decreased cap refill Altered mental status