Effect of a clinical nursing practice guideline to prevent fluid overload among patients with sepsis and septic shock: Feasibility study
Keywords:
fluid overload prevention, clinical nursing practice guideline (CNPG), septic shock, sepsisAbstract
Fluid administration in early resuscitation is the gold standard of care for patients with sepsis and septic shock, however, those patients who are given too much fluid can be at high risk of fluid overload. The aim of this study was to develop and examine feasibility of a clinical nursing practice guideline (CNPG) to prevent fluid overload of patients experiencing sepsis and septic shock. This model was developed using the evidence-based nursing model of “Soukup” as a conceptual framework, then it was used to care for 10 patients with sepsis and septic shock. The condition of "fluid overload" was outcome of this study, which was defined as an increase of greater than 10% of body weight.
Results showed that after receiving care according to the CNPG to prevent fluid overload among patients with sepsis and septic shock, the average weight gain of the patients was 4.64 (SD=2.65) and no patient having weight gain over 10%, or in other words, no patient develop fluid retention.
This study implied that a developed CNPG was useful in preventing volume overload in patients with sepsis and septic shock.
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