Evaluate results of diagnostic studies for a
Evaluate results of diagnostic studies for a patient with sepsis. Prioritize nursing care for a patient with septic shock. Appropriately delegate care for a patient with sepsis. Describe collaborative management of a patient with severe sepsis. Case Study P.H. is a 58-year-old-female with a history of type 1 diabetes mellitus (since age 8), hyperlipidemia, renal insufficiency, and peripheral neuropathy. P.H. was diagnosed with stage IV ovarian cancer 4 months ago. Surgical management included a total hysterectomy, bilateral salpingo-oophorectomy, omentectomy, and lymph node biopsies. Two weeks after surgery, aggressive combination chemotherapy was started. Two weeks after her fourth cycle of chemotherapy, P. H.’s husband brings raise no nos her to the emergency department (ED) with shaking chills and fever. He states she is very weak and barely able to hold her head up. Vital signsobtained by you, the triage nurse, are as follows: blood pressure (BP) 96/72, heart rate (HR) 120, respiratory rate (RR) 26, and tympanic temperature 39.2° C (102.6° F). Sepsis is a systemic inflammatory response to a documented or suspected infection. Severe sepsis, defined as sepsis complicated by organ dysfunction, is diagnosed in more than 750,000 patients per year and has a mortality rate as high as 28% to 50%. Septic shock is the presence of sepsis with hypotension despite adequate fluid resuscitation along with the presence of tissue perfusion abnormalities resulting in tissue hypoxia.Sepsis can occur in patients of all ages, although infants and older adults are at higher risk, as well as patients with preexisting medical conditions. Objectives Identify relevant assessment data for a patient with sepsis. Describe the pathophysiology and clinical manifestations of septic shock. Compare and contrast the four stages of shock. Evaluate results of diagnostic studies for a patient with sepsis. Prioritize nursing care for a patient with septic shock. Appropriately delegate care for a patient with sepsis.
Describe collaborative management of a patient with severe sepsis.
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