NSB236 Integrated Nursing Practice: Case Study of Sepsis in Pediatrics

This case study analyzes the clinical presentation of a 14-year-old female patient, Elodie Greer, diagnosed with sepsis following treatment for Acute Lymphoblastic Leukaemia and stem cell transplant. The paper identifies hypotension and elevated white blood cell count as key indicators of clinical deterioration, explaining the underlying pathophysiology of sepsis, including the role of inflammatory mediators and their impact on the cardiovascular system. The priority problems are identified as hypotension and increased respiratory rate, and evidence-based nursing interventions are proposed, such as fluid management and oxygen therapy. The study also addresses the psychosocial issues related to the patient's illness, including the impact of chemotherapy, and recommends psychological support for the patient and her family. The conclusion emphasizes the importance of early recognition and effective nursing interventions to improve patient outcomes in sepsis cases.