Nursing care of pregnant women with sepsis: a case study.

Abstract

     This study is a case study with the objective of studying nursing care of pregnant women with sepsis and who were infected with HIV before coming to the hospital. The study involved a 24-year-old Thai woman admitted to the hospital on October 1, 2023. Important symptoms: 1 hour before coming to the hospital, stomach pain when going to the bathroom. The baby was born at home, EMS picked up the mother, G2 EMS, gestational age 29 weeks, took birth at Nong Khai Hospital 2 times. After birth, the baby was able to breathe on its own. The mother's general condition was normal, the placenta was delivered completely, so she was admitted to the hospital.
     Results: A case study of the diagnosis of sepsis in a pregnant woman infected with HIV who gave birth before reaching the hospital. Health data analysis results Found 9 nursing diagnoses as follows: 1) Risk of shock due to bloodstream infection and vaginal blood loss. 2) Risk of maternal hemorrhage after the first 24 cm after birth. 3) There is a condition in the amount of bleeding. Heart rate per minute decreased because the patient was in shock from an infection in the bloodstream. 4) Breathing was inefficient due to the efficiency of gas exchange in the lungs is reduced due to pneumonia and the patient refuses to be intubated. 5) Risk of insufficient nutrition and fluid intake due to changes in food and fluid intake patterns. 6) Hyperkalemia in the blood. and acidosis due to loss of kidney function; 7) risk of seizures due to high blood pressure; 8) decreased ability to perform daily activities due to decreased level of consciousness and critical illness; 9) unwell due to pain from the perineum wound. 10) I am worried about my child's condition. Because the child must be separated for further treatment at the infant intensive care unit at Nangrong Hospital. 11) The patient and relatives are worried because the patient is in critical illness. 12) Preparing before being transported to a hospital that has more potential. Patients were cared for until they were safe. Ready to forward more potential care.