SEPTIC SHOCK

Description

Mind Map on SEPTIC SHOCK, created by Jackie O'Hearn on 22/10/2017.
Jackie O'Hearn
Mind Map by Jackie O'Hearn, updated more than 1 year ago
Jackie O'Hearn
Created by Jackie O'Hearn almost 7 years ago
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Resource summary

SEPTIC SHOCK
  1. Interventions/Treatment
    1. Rosini, J. M., & Srivastava, N. (2013). The 2012 Guidelines for Severe Sepsis and Septic Shock: An Update for Emergency Nursing. JEN: Journal Of Emergency Nursing, 39(6), 652-656. doi:10.1016/j.jen.2013.07.012
    2. Nursing Considerations
      1. Oxygenation and respiratory function are priority
        1. Proper positioning
          1. ABGs monitored
            1. Circulatory function addressed with combination of fluids and medications
              1. Monitor:
                1. Vital signs
                  1. body temperature
                    1. hemodynamic function
                      1. urine output
                        1. level of consciousness
                      2. Signs and Symptoms
                        1. Body temperature >38C or <36C
                          1. influences tachycardia
                          2. Heart rate >90 beats/min
                            1. indication of tachycardia and hypovolemia
                            2. Respiratory rate >20 breaths/min
                              1. Compensation for metabolic acidosis
                              2. White blood cell count >12 000 /mm3 or <4 000/mm3
                                1. Altered mental status
                                  1. Hypoperfusion can show as disorientation or confusion
                                  2. Apprehension, anxiety, agitation
                                    1. Wolf, L. (2012). Early Recognition and Treatment of the Septic Patient in the Emergency Department. JEN: Journal Of Emergency Nursing, 38(2), 195-197. doi:10.1016/j.jen.2011.11.006
                                    2. Pathophysiology
                                      1. Wolf, L. (2012). Early Recognition and Treatment of the Septic Patient in the Emergency Department. JEN: Journal Of Emergency Nursing, 38(2), 195-197. doi:10.1016/j.jen.2011.11.006
                                        1. The presence of systemic inflammatory response syndrome (SIRS) in the setting of infection
                                          1. SIRS causes vasodilation and capillary permeability causing hypotention, hypoperfusion, metabolic acidosis, elevated lactate levels and multisystem organ failure
                                          2. References for now
                                            1. Bridges, E. (2017). RESEARCH IN REVIEW: ADVANCING CRITICAL CARE PRACTICE. American Journal Of Critical Care, 26(1), 77-88. doi:10.4037/ajcc2017609
                                              1. Garretson, S., & Malberti, S. (2007). Understanding hypovolaemic, cardiogenic and septic shock. Nursing Standard, 21(50), 46-60.
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