Nursing Care for patients with septic shock : 2 case studies

Abstract

Objective : To study the nursing care of patients with septic shock. Two specific patients study at In-Patient Department, Kantarawichai Hospital, Maha Sarakham Province.

Method : This study was a descriptive study. The patient with septic shock. Case study in two specific patient admitted to In-patient ward at Kantarawichai hospital. All data was conducted between October 1, 2022 and 30 April 2023. The instruments for data collection were composed of interviews, observations, medical records. Researching academic knowledge is used to plan care according to the nursing process. Evaluation the patient^’s condition according to the Gordon Health Plan. And determine the diagnosis of nursing assistants according to the guidelines of the American Association of Nursing Diagnostics

Result : This study was a comparative study of two patients with septic shock. Case Study 1: A 63-years-old  Thai male patient with congenital DM, Old TB Pleuritis, Paraplegia, Bedridden  was diagnosed :  pneumonia with septic shock. Case Study 2: A 86-years-old  Thai male patient with congenital CKD stage 3b, BPH, Gout was diagnosed :  pneumonia with septic shock. Both case studies have a clear similarity of signs and symptoms: High grade fever, cough and sputum. Both had the same critical conditions which were septic shock. The differences were that the first case were treated according to Sepsis Protocol from the emergency room. Found complication: Volume overload. Durations of stay In-Patient Department were 11 day Case Study :2 Found complication : Thrombocytopenia, Acute kidney injury. Not receiving treatment according to sepsis protocol from the emergency room. But when admitted to the ward the patient received. Care. Be careful according to the sepsis protocol. Case Study 1 took longer to receive treatment and rehabilitation because of the congenital disease: DM, Paraplegia, Bedridden. In both cases, the patient was spared from septic shock and complication. The patient not life-threatening. Providing rehabilitation and selling back home

Conclusion : Caring for patients with septic shock requires prompt and accurate diagnosis. Provide urgent and complete care according to standards on important issues according to safety goals. Therefore, nurses need to have special knowledge, skill, and expertise to quickly assess patients. Correct and precise. Continuously monitor for changes in signs and symptoms. Able to report to the doctor when abnormal symptoms appear quickly and in time. There must also be a systematic and continuous nursing approach from the first admission until discharge.