Nursing care for patients with Septic shock: a comparative case study

Abstract

Delayed treatment of the sepsis patients will cause septic shock, which has a high mortality rate. Key factor causing death were 1) Delayed diagnosis 2) Inadequate of fluid resuscitation 3) Starting antibiotic therapy more than 1 hour after diagnosis 4) Admitted out of the Intensive Care Unit and 5) Multiple Organ Dysfunction Syndrome (MODS). The use of sepsis guideline with the early goal direct therapy (EGDT) in the first 6 hours can reduce the mortality rate.

This study was a comparative study of two patients with septic shock the 1st patient was diagnosed: pneumonia with septic shock, the 2nd was acute diarrhea with septic shock the 1st patient admitted to the intensive care unit the 2nd admitted to the ward. The results of the first six-hour treatment (EGDT) of the 2nd patient were not met that lead to organs dysfunction; especially respiratory failure. Causing the need to be intubated and moved to the intensive care unit. The results of medical treatment showed that both patients survived, and length of stay in the intensive care unit were 3 days and 5 days, respectively. One of the factors to achieve the outcome of the first six-hour was the professional competence of nurses to comply with the sepsis guideline. Recognizing the importance of continuous monitoring, early warning signs and timely medical reporting, was a key factor in achieving clinical outcomes and the recognize of nursing care for targeted therapy in the first 6 hours. Patients with risk to septic shock should be supervised in the intensive care unit.