Phases of Septic Shock and Effects and CAD on the Heart
A nurse?s responsibility is to assess vital signs repeatedly looking for changes from the baseline levels, review laboratory data related to changes in serum lactate levels, total white blood cell (WBC) count, and the differentials. Increasing serum lactate level, a normal or low total WBC count, and a decreasing segmented neutrophil level with a rising band neutrophil level indicate sepsis. The change is also a left shift in relation to the oxyhemoglobin dissociation curve. If unidentified progression of this syndrome can lead to death. If a nurse identifies the beginnings of sepsis the probability of reversal and uncomplicated recovery is greater.
Situation 1 An acute nurse knows that the cause of sepsis results from a systemic response to an infection that has entered the bloodstream leading to widespread inflammation. Sepsis leads to impaired oxygenation and tissue perfusion Gram-negative bacteria, gram-positive bacteria and fungi enter the blood stream either directly from the site of infection or indirectly as a result of toxic substances released by the bacteria production of bacteremia. Bacteria and fungi live anywhere a micro-organism can grow and remain alive even without a host. Patients can acquire an infection from endogenous sources such as wounds on the skin, genitalia, mouth, or infection of the gestational tract or nose. Exogenous sources include door handles, bathrooms, restaurant/ fast