Nursing of peptic ulcer perforatepatient associated with sepsis: Case study

Abstract

A Thai male patient, 71-year-old, was admitted to surgery department with anemia and epigastric pain, 2 hours prior to admission. He was diagnosed with dyspepsia and anemia. He received PRC 1 unit and omeprazole 40 mg v OD. 8 hours later he had fever and severe pain at epigastric area. Abdominal computed tomography was done. It found air and fluid at upper anterior abdomen. He was diagnosed with peptic ulcer perforation and sepsis. The patient had shortness of breath, blood circulation with impairment and acute renal failure. He was intubated and resuscitated with Intravenous fluid conjunction with levophed and tazocin 4.5 gm Intravenous drip every 6 hours. The patient was send to explore laparotomy and simple suture with omental graft. The first 24 hours after surgery. His vital sign was not stable. The nurses provided care during ventilator using, correct anemia, maintained a balance of water and minerals, control pain. The ventilator was removed after 3 day. Hemo-culture showed gram positive cocci. After treatment with antibiotic 10 day. The symptoms improved accordingly. Totally 12 days of hospital admission.