What do nurses need to know when someone has septic shock?
- 1Apr 14, '09 by ohmeowzer RN[quote=Silverdragon102;3566595]Sounds like homework question?
In what way do you want to know? If it is homework question what information/thoughts do you already have?
yes what have you found so far? it will help you learn if you read it and do it yourself. keep us posted on how you are doing !!
- 2Apr 14, '09 by NurseLoveJoy88So glad you asked !
Septic shock can occur from lots of things, mainly bacterial infection. For example: One way a person may go into septic shock is from peritonitis ( when GI contents flow into the perineum cavity - which is pure...due to a rupture ). The patient may have a decrease in temp. ( instead of elevated temp.), hypotension, tachycardia, and etc. Septic shock can end in death. A nursing action is to measure the output via foley cathter, this will tell us if there is renal damage due to septic shock. I'm sure there is more to it, however that was the first thing that popped in my mind.
Ofcourse the patient may be started on antibiotics and etc.
- 3Apr 14, '09 by cardiacRN2006The pt MAY be started on Abx?
Urine output is low on the list of nursing actions for septic shock. Low. And having low UO won't tell us that it's renal damage, it will indicate the fluid status. Best to go back are re-learn sepsis. If they are in true shock then it's probably zero anyway. So what do you do then?
To the OP, tell us what you think. Have you looked at the Surviving Sepsis campaign?Last edit by cardiacRN2006 on Apr 14, '09
- 4Apr 14, '09 by 07302003Where is the sepsis coming from? UTI, central line, wound infection? Have cultures been drawn?
Good hospitals have a sepsis protocol, pan-cultures drawn, started on a broad spectrum abx asap, force fluids (except in heart failure, go slowly)
Pay close attention to VS, RR, for signs of them crashing and needing a higher level of care. Be on the lookout for any signs of respiratory compromise.
Urine output is very important, at my hospital we are looking for 240 ml/8 hours.
Look at recent labs - what do they show?
Best of luck to you - from a med-surg nurse
- 0Apr 14, '09 by catshowladyThinking about the pathophysiology of shock - what happens to the blood vessels? Why does hypotension occur in sepsis? What are you going to do about the hypotension? What benefits would a central line have in taking care of these pts?
Changes in VS: why does the HR increase? What is compensatory tachycardia? Would you try to beta-block a septic pt for their HR even if their BP is adequate? What about their temp? What interventions would you do for a low temp? For a high temp?
What change does sepsis cause to the body's pH? Why?