Nursing care of patients with septic shock: Two case studies

Abstract

     This study was case study aimed to study and make a comparison to provide the nursing care guidelines for patients with septic shock. This was study of two case studies. Two patients with septic shock were selected. Data were collected from medical records. The concept of Gordon’s 11 Functional Health Patterns was employed. The related literature was reviewed from documents, textbooks, academic works, articles and related research to find out patients’ problems, formulate nursing diagnosis to plan nursing practice, make a summary and evaluate nursing outcomes.

     Results:
     The first case study was a 74-year-old Thai woman with a history of type 2 diabetes coming to the hospital with the following symptoms. She had shortness of breath 1 hour before coming to the hospital. Blood pressure was 93/57 mmHg. Lactate was 13.6 mmol/L. She had septic shock. Sepsis protocol was activated from the community hospital. Acute respiratory failure occurred. Endotracheal intubation and ventilator were required. There was organ dysfunction of 4 systems: cardiovascular, respiration, renal and liver systems. She was admitted to the medical ward, Khon Kaen Hospital. She was safe and referred back to the community hospital. She was admitted for a total of 4 days

     The second case study was a 77-year-old Thai woman with a history of hypertension and type 2 diabetes. She had shortness of breath 1 day coming to the hospital. While admitted to the community hospital, she had hypoglycemia. Blood pressure was 84/47 mmHg. She had septic shock. Sepsis protocol was not activated from the

community hospital. Acute respiratory failure occurred. Endotracheal intubation and ventilator were required. There was organ dysfunction of 3 systems: cardiovascular, respiration and renal system. She was admitted to the medical ward, Khon Kaen Hospital. She was safe and discharged from the hospital. The hospital stay was 6 days.