Sepsis

Sepsis and Septic Shock have been my personal topic after the life of young Kamil Williams and a 31-year-old Texas man who both contacted a bacterial infection later turn into sepsis. Although I have not formally studied it during my school or university years, I still find the human body, how it can break down and react to certain ailments interesting. The next question would be why does this happen? Well when there is infection or insult upon the body’s immune system normal reacts and causing

the potential life threatening effects “from cellulitis to septic shock”. Cellulitis is the starting cause of an infection that will lead through the sepsis cycle, finishing with the severe part septic shock (Swartz, 2004). Analysation of the interrelationships between localised infection, systemic inflammation response syndrome (SIRS), and the sepsis course will be discussed throughout this report. Additionally, this report will incorporate comprehensive detail of the physiological systemic weakening

this assignment is to critically discuss the nursing assessment individualised care and nursing interventions of the acutely ill patient. The patient discussed developed severe sepsis due to a urinary tract infection and her condition deteriorated during the recovery process in the nurse’s care. Lovick (2009) defines sepsis ‘as a known or suspected infection accompanied by evidence of two or more of the SIRS criteria’. SIRS is outlined as a ‘systemic inflammatory response’ consisting of two or more

of heart failure – Blood tests, chest radiograph and ECG are differentiating ○ Acute respiratory distress syndrome – Clinical history is different - acute dyspnea and hypoxemia are developed within hours to days of an inciting event (trauma, sepsis, drug overdose, acute pancreatitis, aspiration) – Diagnostic imaging is differentiating TREATMENT GOALS • Cure the infection • Prevent complications DISPOSITION • Admission criteria 1 ○ Patients who do not require oxygen therapy or supportive

infection and multiplying in the blood. It begins with an infection of the urinary tract or obstruction of the urine. A UTI is the inflammation of the urinary epithelium caused by stomach or intestinal microbia. Leading cause of sepsis is gram-positive bacterial sepsis, however other causes include gram-positive bacteria, and fungi. If a gram-positive bacteria is the cause of the infection it will release exotoxins such as peptidoglycans, lipoteichoic acids, superantigens within the body’s defense

Introduction Neonatal sepsis is potentially fatal blood stream infection occurring in the first month of life (1). It causes long duration of hospital stay in neonatal intensive care unit (NICU) and associated with additional expenses, morbidity and long term adverse outcome.(2) The incidence of neonatal septicemia caused by Gram negative bacilli (GNB) has increased in the past decade and it is often associated with higher mortality rate.(3) The emergence of multi-drug resistant among gram negative

assessment that has been completed noted a foul smell omiting from the bandage where the leg has been amputated. Clearly this patient is exhibiting clinical signs of sepsis. The initial thought is that the source of infection is the surgical wound since the foul odor is present. The next few hours are critical in initating treatment for sepsis. Multi-organ failure can result if treatment is not received in

Case Study 1: Breast Cancer Situation: The client is a 50-year-old female teacher who was notified of an abnormal screening mammogram. Diagnosis of infiltrating ductal carcinoma was made following a stereotactic needle biopsy of a 1.5 x 1.5 cm lobulated mass at the 3:00 position in her left breast. The client had a modified radical mastectomy with lymph node dissection. The sentinel lymph node and 11 of 16 lymph nodes were positive for tumor. Estrogen receptors and progesterone receptors were

increasingly distended and his jejunostomy feed was stopped and TPN was commenced. Due to an increase in sepsis he returned to theatre for a laparostomy washout, it was discovered that his bowel loops were necrotic. An Endoscopy following a further GI bleed confirmed an arterial bleed, and it was deemed he was still unstable for any further surgical intervention. Mr Cox continued to deteriorate with sepsis and MODS, consequently at this point, it was decided to withhold and withdraw treatment. Renal replacement

peak occurs in minutes to hours due to life threatening injuries and prognosis depends on initial resuscitation of the patients both in the emergency department and ICU.Then there is third peak which occurs several days to weeks and is often due to sepsis and multiorgan dysfunction[1]. This third peak can be prevented by good ICU management of these patients. Here comes the role of good intensivist who has experience in managing trauma patients as trauma patients are different from other patients