Septic Shock Case Study

Septic Shock case study

Introduction This paper is talking about the patient who has septic shock then use the holistic nursing care to him. Holistic care is defined, as total patient care that include the physical, psychological, economic, and family needs of the person; Holistic nursing is using a knowledge, theories, and proficiency interaction with people in their care (Lucia, 2013) The definition of the septic shock is systemic inflammatory response syndrome, caused by any type of bacteria, fungi and viruses. The bacteria or fungi release toxins, which can block oxygen and nutrients from organs to make tissue damage, and cause low blood pressure and organ dysfunction. This may cause a may result in death due to drop in BP. Septic
Maggio & Carla Carvalho in 2013, bacterial toxin caused 70% of septic shock cases. In the first stage, arterioles and arteries will dilate, decreasing the resistance of peripheral arterial; then the cardiac output wills increases. That is base on the warm shock. And than, cardiac output will decrease, blood pressure will falls and typical sign and symptom of shock appear. Septic shock can cause low blood pressure, which would cause a poor capillary flow, then decrease in the amount of blood and oxygen to reach the other organs, and thus the result that decreased perfusion causes dysfunction and failure of one organs or more. If a patient with septic shock does not treat as soon as possible and appropriately, such as medications, antibiotics, blood pressure, and respiratory support with ventilator or oxygen, the patients will be death (Paul & Carla,
The circulating volume if loss more than 30%, which will decrease the cardiac output and vital organs supply. Thus, the cells will be oxygen insufficient, the patient will develop metabolic acidosis. Acidosis in normal tissue metabolism will lead to cellular destruction and, and then finally will be death. (Lawrence & Sharon, 2006) The second diagnosis based on prioritization is rick of complication of hyperkalemia related to reduce renal perfusion secondary to septic shock, because hyperkalemia is a potentially life- threatening problem caused by failure kidney to excrete potassium, and impair the acid-base and fluid balance, and affect the depolarization of skeletal muscle and heart (Joyce & James,