Septic Shock Management

Septic Shock Management
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Septic shock management
Case study review
Sepsis occurs as an overactive state of immune response occurring
from an infection leading to immune overdrive. It is a life-threatening
state which affects the majority of patients globally. Patients admitted
often have about eight more times likely to encounter death during the
hospitalization process. Nurses’ plays a fundamental role in ensuring that
sepsis-related morbidity ad mortality is identified and managed. Often,
early identification and initiation of the treatment process are key to the
management of sepsis. Fundamental aspects are being cognizant of the
subtle clinical changes which are often an indication of declining clinical
measures which is critical for timely interventions and minimizing
deteriorating clinical outcomes (Mikkelsen, Gajeski & Johnson, 2016).
Sepsis shock reflects a state of subset which has underlying circulatory,
metabolic and cellular abnormalities which deteriorate patient status
(Singer et al., 2016). On this basis, this review assesses the patient in the
case study aged 14 years having a diagnosis of septic shock. Assessment
of clinical deterioration, priority problem, nursing interventions and
psychosocial issue for management is discussed in detail.
The path physiology state is linked to the occurrence of
coagulation and immune response towards an infection. The anti-
inflammatory and pro-inflammatory responses have a vital role in sepsis
shock. The occurrence of septic shock entails widespread inflammation
responses which yield hypermetabolic effect. This leads to increased

respiration, elevated protein catabolism and increased metabolic acidosis
having compensatory respiratory alkalosis (Howell & Davies, 2017). The
occurrence of septic shock when patient sepsis subset entails underlying
circulatory and metabolic abnormality which is linked to persistent
changes on hypotension which necessitates vasopressors to maintain the
arterial blood pressure to 65 mm Hg or higher and serum levels higher
than 2 mmol/Lin the body.
The patient is having two clinical signs which are deteriorating the
overall state well being. The patient is experiencing hypotension with the
blood pressure indicating 102/67mmHg compared to ranges of 110-
131/64-83 with declined towards systolic hypotension state. The patient is
experiencing increased respiration rates of 21 beats /minute compared to
normal rates of between 12-20 beats per minute of the same age bracket.
Further, the overall assessment of blood tests shows that there is
increased white blood cell count greater than >12000cell/mm3 (Al Jalbout
et al., 2018)
Hypotension state reflects alteration of redistributive intravascular
fluid volume which leads to lowered levels of arterial vascular tome and
declining venous dilation and releasing of depressants of the myocardial
site. Diagnosis of septic shock is indicative with decline fluid state which is
not sufficient to maintain the patient blood pressure. Systolic blood
pressure is indicated when it is below 90mmHg, while the mean arterial
pressure is lower than 70mmHg. The occurrence of tachypnea reveals an

increased rate of breathing indicating the presence of infection in the
body (Nishida et al., 2018).
The patient is experiencing increased inflammatory response which
is making it a cause for pathogen increases. Asepsis is a fundamental
aspect of patient care. The occurrence of sepsis results from systemic
response due to infection. It is indicated by two or more systematic
inflammatory response syndrome. Septic shock is linked to sepsis
characterized by the occurrence of hypotension ad hypoperfusion. The
patient has increased risks of infection based on blood assessment
results. Elevated white blood cell count and lower platelet levels signify an
increased state of the patient (Yin et al., 2018).
Bacterial infections are the key factors associated with sepsis
shock. It causes widespread inflammation which can lead to organ
damage. Blood clotting in sepsis occurrences leads to reduced blood flow
on the internal organza. Sepsis can lead to reduced blood pressure. A
bacterial infection is a major causative factor for sepsis. The patient state
and appearances of lethargy are likely to elevate by the increased
infection rate in the body.
Infection state is a priority problem to the patient at this point in
that failure to manage infection can lead to severe septic shock which can
lead to organ failure, further deterioration of blood pressure, declined
body temperature state, respiratory failure, and death. Septic shock has
been associated with more occurrence of death at intensive care units