Nursing care for Septic shock : case study 2 cases

Abstract

The purpose was to study the nursing care of patients with septic shock. This study was comparisons of two cases with septic shock and admitted to the ward in Nong Song Hong Hospital from July15, 2020  to August 5, 2020. The data collections were from inpatient medical record, history taking and observation. The data analysis were compared Gordon's 11 Functional Health Pattern in the aspect of pathology, sign and symptom, treatment and nursing diagnosis, nursing care of patients with critical period, continuing care and discharge planning, and comparison information based on CPG CNPG  Sepsis Bundle protocol

             Result: The comparisons of patients with septic shock. Case 1, A 67 years old Thai man came with high fever 1 day ago. History of leg swelling, redness and heat, pain, left arm swelling, redness, pain. The diagnosis wasSepsis from Wound Lt.arm,CellulitisRt.ankle with septic shock. After evaluation and treatment by Sepsis bundle protocol, the patients had developed complication and collapsed, referred to Khon Kaen Hospital. Case 2, Thai man, 58 years old, with high fever, chill and shivering for 20 minutes prior to admission, had a history of renal calculi, lack of treatment. Acute pyelonephritis was diagnosed. On day 2 of treatment, the patient had been shocked and diagnosed with septic shock. The evaluation was made and the treatment was applied byCPG CNPG Sepsis Bundle Protocol. The patients had developed complication and collapsed, then received the treatment and the problems were solved until getting a better condition and was able to return home.