Nurse’s role in caring for patients with cholangitis and sepsis: A case study in an urban society
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Abstract
Cholangitis with sepsis is a severe acute biliary tract infection caused by bacterial infection in the bile duct due to obstruction, leading to biliary tract infection and bacteremia. This life-threatening emergency has a high mortality rate if treatment is delayed. The incidence is increasing in urban societies, associated with lifestyle changes and dietary habits. This condition is classified as a surgical infection that cannot be treated with antibiotics alone; it requires source control through Endoscopic Retrograde Cholangiopancreatography (ERCP) to eliminate the underlying cause. This article aims to analyze problems and integrate nursing roles in caring for patients with cholangitis and sepsis using a case study of a 75-year-old Thai female diagnosed with cholangitis with septic shock with septicemia due to impacted distal common bile duct stone. Nursing roles encompass three phases: the critical phase involving tissue hypoperfusion assessment, screening with qSOFA and SOFA tools, fluid resuscitation and antibiotic administration within one hour; the post-procedure and recovery phase focusing on monitoring complications within 72 hours after ERCP; and the discharge planning phase providing patient education using the D-METHOD framework and coordinating home visits for continuity of care. Systematic and timely patient care provided by nurses is a crucial factor in reducing mortality rates and promoting high-quality nursing outcomes.
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เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในวชิรสารการพยาบาลถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรง ซึ่งกองบรรณาธิการไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใด ๆ ทั้งสิ้น
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในวชิรสารการพยาบาล ถือเป็นลิขสิทธิ์ของวชิรสารการพยาบาล หากบุคคลใดหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักอักษรจากวชิรสารการพยาบาลก่อนเท่านั้น
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