Nursing care of Septic shock patients : Two case studies

Abstract

     This study is a case study aimed at studying and comparing the symptoms, treatment, complications, and nursing care of patients with septic shock through two case studies. The goal is to develop guidelines for caring for patients with septic shock at Chuenchom Hospital. The study selectively chose two patients admitted to the Internal Patient Department at Chuenchom Hospital, diagnosed by a doctor with septic shock. The results of the study revealed the following

     Case Study 1: A Thai male patient, aged 72, presented with a chief complaint of high fever with chills one day prior. Underlying diseases include hypertension, ischemic heart disease, and a history of Old CVA with full recovery. During the course of care, the symptoms changed, meeting the criteria for evaluating sepsis. The SIRS assessment showed 2 out of 4 criteria, with S-NEWS scoring 6 points. Following the Sepsis fast track guidelines, the patient's shock condition did not improve, and he still experienced low blood pressure. Consequently, he was transferred for treatment at Mahasarakham Hospital.

     Case Study 2: A Thai female patient, aged 77, complained of stomach cramps, loose diarrhea, tiredness, and fatigue one day prior. Underlying diseases include diabetes and high blood pressure. While the patient was in care, symptoms changed, and although not fully compatible with sepsis assessment criteria (SIRS), she exhibited low blood pressure with an S-NEWS score of 6 points. Following the Sepsis fast track guidelines, the patient continued to have sepsis, shock, and acute kidney failure. Hence, she was transferred for treatment at Mahasarakham Hospital.