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.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
เนื้อหาและข้อมูลในบทความที่ลงตีพิมพ์ในวชิรสารการพยาบาลถือเป็นข้อคิดเห็นและความรับผิดชอบของผู้เขียนบทความโดยตรง ซึ่งกองบรรณาธิการไม่จำเป็นต้องเห็นด้วย หรือร่วมรับผิดชอบใด ๆ ทั้งสิ้น
บทความ ข้อมูล เนื้อหา รูปภาพ ฯลฯ ที่ได้รับการตีพิมพ์ในวชิรสารการพยาบาล ถือเป็นลิขสิทธิ์ของวชิรสารการพยาบาล หากบุคคลใดหรือหน่วยงานใดต้องการนำทั้งหมดหรือส่วนหนึ่งส่วนใดไปเผยแพร่ต่อหรือเพื่อกระทำการใด ๆ จะต้องได้รับอนุญาตเป็นลายลักอักษรจากวชิรสารการพยาบาลก่อนเท่านั้น
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