Sepsis Case Studies

The aim of the essay is to analyse the care of a septic patient. While discussing the relevant physiological changes and the rationale for the treatment the patient received, concentrating on fluid intervention. I recognise there are other elements to the Surviving Sepsis Bundles, however due to word limitation; the focus will be on fluid intervention. The essay will be written as a Case Study format.

As I reflect on the evaluations of my presentations, I had the opportunity to request how well the information I presented informed my fellow nurses and managers. I am content with my research and prepared work. I feel I was able to design a renewed importance to the sepsis diagnosis and how we can create more effective teaching tools. On my evaluations, I was able to request the attendees to review my teaching and presentation abilities, use current standards and utilize reputable peer- reviewed articles as a form of a reference, and develop a comprehensible early recognition strategies of sepsis for nurses and case managers. After handing out my evaluations to my attendees and presenting my sepsis presentation I asked the attendees to rate

Septic shock is the leading cause of death for patients in intensive care units and is the final stage in a continuum of infectious and inflammatory processes. This continuum begins with bacteremia, which is the presence of bacteria in the blood. Normally the body’s immune system can fight off a localized infection caused by a small amount of bacteria in the blood and the person will remain asymptomatic. However, a hospitalized patient could be immunocompromised, have a

Discuss the cascade of host inflammatory responses that produce the major detrimental effects seen in sepsis due to gram-negative bacteria.

The number of documented cases has been rising every year. “This may be due to the aging population, the increased longevity of people with chronic disease, the spread of antibiotic-resistant organisms, an upsurge in invasive procedures and broader use of immunosuppressive and chemotherapeutic agents” (National Institute of General Medical Sciences, 2014). The mortality rate for sepsis ranges from about thirty percent for patients with sepsis to fifty percent in patients who develop septic shock. Mortality rate varies as to how many organs have been affected. Twenty percent mortality for one organ failure, forty percent for two organs failing, sixty-five to seventy percent for three failed organs, and seventy-five to eighty-five percent when four or more organs have failed. The cost related to sepsis is about seventeen billion dollars per year (about twenty-two thousand dollars per patient), which is six times greater than the cost of patients without sepsis.

Sepsis is defined by the Surviving Sepsis Campaign (SSC) as “the presence (probable or documented) of infection together with systemic manifestations of infection” (Dellinger et al.,

There is a disease continuum with increasing severity if not treated or not responsive to treatment o Sepsis

Under the Core measures, Sepsis is one of the problem-focused trigger for systemic infection and if untreated which can lead to death. In United States, it is the 11th leading cause of death and consumes the large amount of costs about $20.3 billion in 2011 (Jones et al.,2016). According to Centers for Disease Control and Prevention (CDC), more than 1.5 million people diagnosed with sepsis, and at least 250,000 patients die from that yearly (CDC, 2017). The evidence-based research revealed with results of certain pre existing conditions, pathophysiological studies, preventive measures and sepsis bundle for treating and preventing sepsis to save the life of the patients.

For backfill purposes, Urgent Care Department will need the following Ancillary FTE's to support 2017 anticipated membership growth and improve department budget status: 2.1 LVN's. Per November's YTD Budget Report department is overbudget by $2,431.443. Part of overbudget costs included replacing LVN's that were on medical leave, vacation,

et al., 2008). Sepsis is a frequent cause of admission to intensive care units (ICUs) and it

According to the National Institute of General Medical Sciences severe sepsis strikes about 750,000 people in the United States each year and kills an estimated 28 to 50 percent of those individuals. The most vulnerable populations for sepsis are the elderly and newborns. After completing the whole eleven segments, I learned that anyone with an infection may be at risk for developing sepsis. The whole scenario helped me how to screen for sepsis and how important is to recognize and respond appropriately to early signs of sepsis in hospitalized patients. Once sepsis is diagnosed, early and aggressive treatment can begin which greatly reduces mortality rates associated with sepsis. After completing the whole scenario I learned how to approach

Septic shock, a potentially lethal drop in blood pressure due to infection, is not completely understood even with the progress made in science and medicine throughout the years (Heuther & McCance, 2012). It is one of the most common causes of death in the intensive care unit (ICUs) in the United States of America each year, with a mortality rate of 28 to 60 percent (Heuther & McCance, 2012, p. 632). Septic shock is most commonly caused by bacteria, often gram-positive bacteria, acquired while in the hospital, and those who have conditions that reduce their ability to fight infection are most at risk (Young, 2008). This at risk population includes newborns, those over 35 years old, those with diabetes or cirrhosis,

The purpose of this assignment is to identify and evaluate the effectiveness of nursing care to a patient in the Paediatric Intensive Care Unit (PICU). The assignment presents a case study on a patient who suffered an out-of-hospital cardiac arrest, and includes the reason for admission, diagnosis, interventions, management and progress. Due to the many nursing interventions involved in the case study and the word constraints of the assignment, four primary interventions will be focused on, being neuroprotective cares, suctioning, pain and sedation, and family centred care. Furthermore, supporting evidence will be provided and discussed on the impact the care had on both patient and their family, as well as external resources. Lastly,

Sepsis has become the newest major threat to health in not only the United States, but worldwide. With the progression of bacterial infections becoming more resistant to antibiotics because of inappropriate and incomplete treatment, stronger, more resistant, and more dangerous “superbugs” have begun to emerge. An aging population with a multitude of comorbidities, and the rise in immunosuppressed populations

Sepsis is a debilitating, potentially life threatening condition that has become a big burden on the health system worldwide. Early recognition and aggressive timely treatment have proven to be life saving interventions. South Miami Hospital (SMH) aims to provide safe care to our community by implementing and utilizing evidence –based guidelines and protocols. According to research, early identification of patients presenting with signs and symptoms of sepsis is crucial to patients’ survival. In order to achieve this goal SMH Emergency Department (ED) implemented a triage sepsis-screening tool, an intervention that as evidenced by research helps to recognize patients at risk for developing sepsis or presenting with this devastating disease.