Septic Shock Kotzen 1 Potential complications (aka For each potential complication list prior to clinical: collaborative problems)

(Things that may go wrong and require 1. Monitoring activities for early detection collaboration with the physician) 2. Preventive measures if appropriate Activities/measures Potential complications Rationale Hypoxemia Frequently assess respiratory status Impaired ventilation affects gas including rate, depth, effort, lung sounds exchangeand worsens hypoxemia and SPO2. Oxygen therapy and incentive (Tachypnea, dyspnea). SPO2 can be spirometry. used to monitor oxygen saturation. Incentive spirometer to improve inspiratory muscle action and prevent alveolar collapse. Airway Obstruction Help patient cough and deep breathe at least every 2 hours. Incentive spirometer to facilitate deep breathing and stimulate coughing. Drink at least 2 liters of fluid daily. Cough and deep breaths will help rid excess secretions. Incentive spirometer improves muscle action and prevent alveolar collapse. Adequate fluids to prevent dehydration and thin out secretions and make them easier to remove. The importance of following a drug therapy is crucial for the effective treatment of pneumonia. Sepsis with pneumonia is extremely deadly. The exact drug or drugs are determined by the identification of the organism. Some drugs will need to be changed if results are not seen in 2 or 3 days, depending on the response.

Sepsis

Monitor vitals routinely looking for variences in temperature, increase of pathogens in blood and sputum cultures, WBC count and differental.

Septic Shock Potential complications

Kotzen 2 Activities/measures Rationale

Septic Shock Potential complications

Kotzen 3 Activities/measures Rationale

Septic Shock Potential complications

Kotzen 4 Activities/measures Rationale