Which one of the following is NOT an appropriate criterion for diagnosis of Systemic Inflammatory Response Syndrome (SIRS)?
SIRS Diagnosis: Identifying The Inappropriate Criterion
Systemic Inflammatory Response Syndrome (SIRS) diagnosis involves specific clinical indicators. At least two of the following criteria are generally required:
- Abnormal body temperature: Greater than 38.3°C or less than 36°C.
- Heart rate: Greater than 90 beats per minute.
- Respiratory rate: Greater than 20 breaths per minute, or PaCO2 less than 32 mmHg.
- White blood cell (WBC) count: Greater than 12 x 109/L or less than 4 x 109/L, or greater than 10% immature forms (bands).
Analyzing SIRS Diagnostic Criteria Options
Evaluate each option against the standard SIRS criteria to find the one that does not fit.
- Respiratory rate > 20/mm
This condition (tachypnea) is a recognized SIRS criterion. - Heart rate > 90/min
This condition (tachycardia) is a recognized SIRS criterion. - Total leucocyte count > 16 x 109 per Litre
The standard upper limit for leukocytosis in SIRS is typically 12 x 109/L. The value 16 x 109/L exceeds this standard. - Temperature > 38 °C
This condition (fever) is a recognized SIRS criterion.
The leukocyte count threshold of 16 x 109/L is higher than the standard 12 x 109/L limit, making it the inappropriate criterion among the choices.
Important Questions from ICU Protocols
- Which of the following are the components of the SOFA (Sequential Organ Failure Assessment) ?
1. Serum bilirubin
2. Platelet count
3. Leucococyte count
4. Serum Creatinine
Select the correct answer using the code given below : - Which of the following are reversible causes of electromechanical dissociation seen in pulseless electrical activity ?
1. Pericardial tamponade
2. Pulmonary thrombo-embolism
3. Hyperthermia
4. Hypokalemia
Select the correct answer using the code given below : - All of the following are signs of Brain death EXCEPT:
- Biphasic defibrillation in case of ventricular fibrillation is first done with:
Consider the following statements:
Acute respiratory distress syndrome characteristically occurs in
1. Gram negative septicaemia
2. Gastric aspiration
3. Pancreatitis
4. Severe burns
5. Myocarditis
Which of the statements given above are correct?
