Nursing Care of Pneumonia Patient with Sepsis : A case study

Abstract

A 72-year-old man that was 5 days before came to hospital, she had cough with white sputum,
no sore throat. Then 2 days before came to hospital she had fever yellow mucus and dyspnea so
relatives token to hospital. Diagnosis is Pneumonia with Sepsis admit at the male medicine ward with
High-flow nasal cannula (HFNC). Nursing care in critical period was prevent septic shock and electrolyte
imbalance, received HFNC for treatment hypoxemic respiratory failure and delayed intubation worse
clinical outcome from pneumonia with sepsis. In semi-critical period was observe oxygen toxicity after on
HFNC. When clinical improve came to convalescence period wean off HFNC and given doctor's treatment
plan for reduced fear for disease. In discharge plan use D-METHOD to prevent risk of recurrence from lack
of knowledge and good practice. Total 7 days for admission, the complication were not found when
follow up

The role of nurse in the medicine ward is very important in nursing care. The patient in critical
period, semi-critical period, convalescence and discharge plan, every step can cause complications
possible to risk of death. Therefore, the nurse must have the knowledge, skill development and expertise
in assessment pneumonia with sepsis patient care leading to effective nursing practice corresponding to
the ploblems of each patient and increasing good nursing outcomes.