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

a. Temperature of 37.5Â ° 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


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 36Â ° C or greater than 38Â ° 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).

Nursing

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