Identify and discuss sepsis, SIRS, severe sepsis, and septic shock by listing the diagnostic criteria for each. Discuss sepsis protocols employed at your current clinical or work site. Protocols are consistent for the most part, but individual sites may utilize empiric antibiotics/antifungals, steroids, ICU placement, empiric antibiotics, hemodynamic monitoring, and other interventions. Review current literature and briefly summarize one novel or new approach to sepsis management.
Identify and discuss sepsis, SIRS, severe sepsis, and septic shock by listing the diagnostic criteria for each. Discuss sepsis protocols employed at your current clinical or work site. Protocols are consistent for the most part, but individual sites may utilize empiric antibiotics/antifungals, steroids, ICU placement, empiric antibiotics, hemodynamic monitoring, and other interventions. Review current literature and briefly summarize one novel or new approach to sepsis management.
DQ Question
Sepsis, SIR, severe sepsis, and septic shock all have an adverse impact on patients. It is important for a practitioner to know the right diagnosis criteria for each. Sepsis represents the presence of infection with an infection systematic infection. Diagnostic criteria for sepsis include hyperglycemia, substantial edema, an altered mental status, Tachypnea, Heart rate above 90/min, hypothermia, and fever. SIRS implies complex findings which result from immune response innate activation caused by injury, trauma, or infection. Diagnostic criteria include tachypnea, low temperature below 36 or above 38 degrees Celsius, heart rate above 90 beats per minute, and hypotension (Marik, 2018). The diagnostic criteria for severe sepsis include sepsis-induced hypotension, abnormal lactate levels, platelets count below 10,000, creatinine above 2.0mg/dL, and acute lung injury.
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Septic shock is a case where there is sepsis-induced hypotension that persists upon sufficient fluid resuscitation in the absence of other factors that could cause hypotension (Marik, 2018). The diagnostic criteria include a serum lactate level below 18mg/Dl and Mean arterial pressure below 65mm Hg. Antibiotics are the main treatment for sepsis, severe sepsis, or septic shock. This can be given directly to the veins.
How Fever Impact Fluid and Electrolyte Balances
A fluid imbalance occurs when the body losses more water than the body can take in. It can also occur when the body takes more water than it can get rid of. However, when a patient is having fever, the body losses fluids in the form of vomiting and the body (Bennet et al., 2021). Basic methods of managing vomiting and dehydration, like oral rehydration, are some of the first effective treatments for such patients to maintain fluid balance.
References
Bennet, D., Khorsandian, Y., Pelusi, J., Mirabella, A., Pirrotte, P., & Zenhausern, F. (2021). Molecular and physical technologies for monitoring fluid and electrolyte imbalance: A focus on cancer population. Clinical and Translational Medicine, 11(6), e461. https://doi.org/10.1002/ctm2.461
Marik, P. E. (2018). Patterns of death in patients with sepsis and the use of hydrocortisone, ascorbic acid, and thiamine to prevent these deaths. Surgical Infections, 19(8), 812-820. https://doi.org/10.1089/sur.2018.111
This is a two-part discussion question. Support your summary and recommendations plan with a minimum of two APRN-approved scholarly resources.
- Identify and discuss sepsis, SIRS, severe sepsis, and septic shock by listing the diagnostic criteria for each. Discuss sepsis protocols employed at your current clinical or work site. Protocols are consistent for the most part, but individual sites may utilize empiric antibiotics/antifungals, steroids, ICU placement, empiric antibiotics, hemodynamic monitoring, and other interventions. Review current literature and briefly summarize one novel or new approach to sepsis management.
- How does fever impact fluid and electrolyte balances? Recommend appropriate nonpharmacological and nutritional interventions associated with acute fever and associated conditions and disorders in the adult gerontology population.
please answer in full, 2 sources minimum and 250 words minimum thank you