Solution-Identify causative organisms commonly associated

Applied Bioscience Critical Care

Case Study: Sepsis

Don't use plagiarized sources. Get Your Custom Essay on
Solution-Identify causative organisms commonly associated
Just from $13/Page
Order Essay

Applied Bioscience Critical Care: Sepsis Case Study Semester 12, 2015

2500-3000 Words

A 62-year-old female (Jessica Simpson) with a history of type 2 diabetes mellitus and hypertension was admitted to a trauma center following a Motor vehicle accident. Examination revealed blunt thoracic and abdominal trauma and a fractured right femur. The patient was dyspneic, tachycardic, hypotensive, and her skin was pale and cool. A right-sided hemothorax was managed by chest tube insertion. Imaging studies, along with exploratory surgery, revealed extensive trauma and bleeding within the abdominal cavity. Surgical management of the abdominal hemorrhage and the fractured femur resulted in significant improvement in vital signs, and the patient was moved to the ICU.
Four days later, the patient became febrile (39.8) and her WBC count was elevated 10,000. Sepsis was immediately suspected, broad-spectrum IV antibiotic therapy was initiated, and blood cultures were obtained. During the following 24-48 hours, the patient experienced increasing respiratory distress (28 RR) and hypotension 90/40 BP. Urine output decreased and the serum creatinine and blood urea nitrogen were elevated. Deteriorating blood gases necessitated intubation and mechanical ventilation. The patient was determined to be in severe sepsis leading towards septic shock.

Clinical findings: Vital Signs on Fourth Day

Temperature: 39.8, Bp 90/40, RR 28, HR 136, patient became confused and showed signs of abdominal distension and rebound tenderness.

1. Define: Sepsis, Severe Sepsis and Septic shock (Research Recent literature, definitions only max 200 words for all three definitions)

2. Evaluate SIRS in relation to the above patient and what “criteria” does she have to indicate SIRS (Recent Journal Articles only, refer back to Jessica)

3. Identify the causative organisms commonly associated with sepsis? What could be the leading organism for Jessica?

4. Examine and evaluate the following six topics in relation to the evidenced-based care requirements for a patient with septic shock (Journal Articles and recent texts only). Briefly discuss in your answer

• Antibiotics Therapy – Discuss IV antibiotics commonly used in Septic Patients with Gram Positive infections.

• IV Fluids – Including Rationale for Colloids/Crystalloids

• Blood Glucose control

• Hemodynamic Monitoring – CVP/Arterial MAP

• Ventilation management – Invasive Ventilation

• Stress Ulcer Prophylaxis

5. Multi Organ Dysfunction Syndrome (MODS) is commonly associated with sepsis. Briefly explain the changes to the following systems when a patient is in MODS.

• Endocrine

• Respiratory

• Gastrointestinal

• Renal

• Cardiovascular

• Hematologic

6. Explain Vasopressors (Noradrenaline and Dobutamine) in relation to Jessica. Briefly explain what these drugs do, how they are administered and why Jessica has been prescribed them.

What is Plagiarism?

Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
The price is based on these factors:
Academic level
Number of pages
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.