11006563
Descrição
Mapa Mental por Jackie O'Hearn, atualizado more than 1 year ago
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Criado por Jackie O'Hearn
quase 7 anos atrás
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SEPTIC SHOCK
- Interventions/Treatment
- Rosini, J. M., & Srivastava, N. (2013).
The 2012 Guidelines for Severe
Sepsis and Septic Shock: An Update
for Emergency Nursing. JEN: Journal
Of Emergency Nursing, 39(6),
652-656.
doi:10.1016/j.jen.2013.07.012
- Rosini, J. M., & Srivastava, N. (2013).
The 2012 Guidelines for Severe
Sepsis and Septic Shock: An Update
for Emergency Nursing. JEN: Journal
Of Emergency Nursing, 39(6),
652-656.
doi:10.1016/j.jen.2013.07.012
- Nursing Considerations
- Oxygenation and respiratory
function are priority
- Proper positioning
- ABGs monitored
- Circulatory function addressed
with combination of fluids and
medications
- Monitor:
- Vital signs
- body
temperature
- hemodynamic function
- urine output
- level of consciousness
- Vital signs
- Oxygenation and respiratory
function are priority
- Signs and
Symptoms
- Body temperature
>38C or <36C
- influences tachycardia
- influences tachycardia
- Heart rate >90
beats/min
- indication of tachycardia and hypovolemia
- indication of tachycardia and hypovolemia
- Respiratory rate
>20 breaths/min
- Compensation for metabolic acidosis
- Compensation for metabolic acidosis
- White blood cell count
>12 000 /mm3 or <4
000/mm3
- Altered mental status
- Hypoperfusion can show as
disorientation or confusion
- Hypoperfusion can show as
disorientation or confusion
- Apprehension, anxiety, agitation
- Wolf, L. (2012). Early
Recognition and Treatment of
the Septic Patient in the
Emergency Department. JEN:
Journal Of Emergency Nursing,
38(2), 195-197.
doi:10.1016/j.jen.2011.11.006
- Body temperature
>38C or <36C
- Pathophysiology
- Wolf, L. (2012). Early Recognition
and Treatment of the Septic
Patient in the Emergency
Department. JEN: Journal Of
Emergency Nursing, 38(2),
195-197.
doi:10.1016/j.jen.2011.11.006
- The presence of systemic
inflammatory response
syndrome (SIRS) in the setting
of infection
- SIRS causes vasodilation and capillary permeability
causing hypotention, hypoperfusion, metabolic acidosis,
elevated lactate levels and multisystem organ failure
- Wolf, L. (2012). Early Recognition
and Treatment of the Septic
Patient in the Emergency
Department. JEN: Journal Of
Emergency Nursing, 38(2),
195-197.
doi:10.1016/j.jen.2011.11.006
- References for now
- Bridges, E. (2017). RESEARCH IN REVIEW:
ADVANCING CRITICAL CARE PRACTICE. American
Journal Of Critical Care, 26(1), 77-88.
doi:10.4037/ajcc2017609
- Garretson, S., & Malberti, S. (2007).
Understanding hypovolaemic,
cardiogenic and septic shock. Nursing
Standard, 21(50), 46-60.
- Bridges, E. (2017). RESEARCH IN REVIEW:
ADVANCING CRITICAL CARE PRACTICE. American
Journal Of Critical Care, 26(1), 77-88.
doi:10.4037/ajcc2017609
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