For an infection to progress to septic shock, what must occur?
a. The individual must be immunosup-pressed.
b. The myocardium must be impaired.
c. The infection must be gram negative.
d. Bacteria must enter the bloodstream.
ANS: D
For septic shock to occur, bacteria must enter the bloodstream. Septic shock can occur in indi-viduals who are not immunosuppressed. In septic shock, the myocardium is not impaired. Many organisms in addition to gram-negative bacteria can cause septic shock.
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