Nursing care of septic shock Patients at Kalasin Hospital: 2 case Studies

Abstract

     This study was case study aimed to compare the symptoms, treatment, complications, and nursing processes of two patients with septic shock who presented with different levels of severity and acuity. Two patients diagnosed with septic shock and acute kidney injury were purposively selected from the intensive care unit of Kalasin Hospital.

     Result: Case Study 1: A 65-year-old Thai female: Four hours before arriving at the hospital, she experienced extreme fatigue, weakness, shortness of breath, and had a history of type 2 diabetes. She was brought to the community hospital and diagnosed with septic shock, including acute kidney injury and severe acidosis. Her respiratory and circulatory systems were compromised, and her body could not self-regulate, leading to cardiac arrest. The patient received advanced life support, mechanical ventilation, continuous renal replacement therapy (CRRT), and professional nursing care. She successfully recovered in 12 hours and was weaned off mechanical ventilation within 72 hours. She was then transferred to a general ward, but due to her diabetes, insulin was administered, and it took time to adjust her blood sugar levels. The total hospitalization duration was 7 days.
     Case Study 2: A 46-year-old male: One day before arriving at the hospital, he had a high fever, chills, fatigue, and difficulty breathing. He had a history of testicular cancer. He was diagnosed with septic shock, including acute kidney injury and severe acidosis. The patient received mechanical ventilation, professional nursing care, and timely administration of medications to stabilize blood pressure and correct fluid imbalances. Within 6 hours, his organ systems began functioning normally, and he was weaned off mechanical ventilation within 12 hours. He was then transferred to a general ward and spent 3 days in the hospital.