Sepsis Management: Nursing Interventions and Goal Setting

This case study provides a detailed analysis of sepsis management in a 50-year-old female patient presenting with pain and inflammation due to a cut that became infected. The analysis identifies two primary problems: impaired circulatory function indicated by low blood pressure and high pulse rate, and a localized infection evidenced by elevated temperature, wound discharge, and increased white blood cell count. For each problem, the study outlines SMART nursing goals, specific nursing interventions such as intravenous fluid administration and antibiotic use, along with rationales for each intervention and strategies for determining their effectiveness. The circulatory problem is addressed with fluid administration and medications like midodrine and fludrocortisone to raise blood pressure, while the infection is managed through antibiotics, aseptic wound dressing, and proper nutritional intake to promote healing. The case study emphasizes the importance of timely medical intervention and preventative measures to manage sepsis effectively and improve patient outcomes.