Nursing Care for Patients with Sepsis : 2 Case Studies.

Abstract

     This Comparison of 2 case studies aimed to compare nursing care for patients with sepsis from admission to transfer to Roi Et Hospital. This approach would serve as a guideline for nursing care for patients with sepsis, aiming to improve the quality of nursing care. This case study compared two patients with sepsis. Case Study 1 studied the patient who presented to Changhan Hospital on March 27, 2025, and Case Study 2 studied the patient who presented to Changhan Hospital on May 12, 2025. Data were collected through interviews, observation, and medical records. The patient's health status was assessed using Gordon's 11 Health Models and Orem's Nursing Theory.

     Main findings: Case Study 1 was a 46-year-old Thai male who presented to the hospital three days prior to his admission. High fever, chills, cough with sputum, body aches. The doctor diagnosed Sepsis ĉ Pneumonia, Hyponatremia, Hypokalemia, Anemia. Case study patient 2, a 69-year-old Thai man with gout and CKD Stage 3 b. 8 hours before coming to the hospital, he had a high fever, 5 watery stools, abdominal pain, and 1 vomiting after eating Khanom Jeen. The doctor diagnosed Sepsis ĉ Acute Gastroenteritis. The patient assessment tools, SIRS, qSOFA, NEWS, were used to screen and search for clinical risks and implemented 6 Bundle of Care, including collecting H/C (Hemoculture), administering antibiotics (ATB) that cover pathogens, administering adequate IV fluids, continuous MAP assessment, monitoring lactate levels, and monitoring for organ failure using SOS Score or NEWS. It was found that the second case study patient was treated for septic shock and had hypotension. The doctor considered administering Norepinephrine. The nurse administered medication and monitored the circulatory system, such as monitoring blood pressure (MAP), which was found to be <65 mmHg, with a low blood pressure and urine flow rate of less than 0.5 ml/kg/hr. A physician visited the patient and referred them for treatment at Roi Et Hospital.