Nursing care for patients with septic shock

Abstract

Abstract

Background: Sepsis and septic shock are life-threatening conditions requiring comprehensive and efficient treatment protocols. Early diagnosis, proper pathogen identification, and appropriate antimicrobial therapy are crucial for reducing mortality and complications. Septic shock represents a particularly critical complication of sepsis with high incidence and mortality rates.

Objective: To ensure patient safety from shock and complications, restore circulation and vital organ function, control and eliminate causative pathogens, and develop knowledge for nursing care of patients with septic shock through a case study analysis.

Method: A single case study was conducted at Khon San Hospital's inpatient department. The case involved a 73-year-old Thai female with underlying conditions of diabetes mellitus, hypertension, and stage 3b chronic kidney disease. The patient presented with fever, chills, and hypotension (BP 78/50 mmHg, MAP 59 mmHg). Urinalysis showed evidence of urinary tract infection.

Results: The patient was diagnosed with septic shock secondary to urinary tract infection. Treatment included fluid resuscitation, vasopressors, antibiotics, and supportive care. The patient was hospitalized for 3 days and discharged with continued antibiotic treatment at a local health center. Nursing care encompassed critical care, continuity of care, and discharge planning phases.

Conclusion: Effective nursing care for septic shock patients requires expertise, close monitoring, timely interventions, proper fluid and vasopressor management, respiratory care, complication prevention, psychological support, and good healthcare team coordination to reduce complications and mortality rates.