Septic shock

coded twice before arriving to the MICU, the down time for the patient had placed a significant strain on his body. Patient presented with lactic acidosis, bilateral pneumonia, and diabetic ketoacidosis. This all was in addition to the diagnosis of septic shock. Patient was intubated and had to be maintained on a positive end-expiratory volume pressure of 20 to maintain an appropriate oxygenation level. This is a very high level to be placed on and put the patient at risk for developing a…

compounds are activated, local vasodilation occurs, cytotoxic chemicals are released and the invading pathogen is destroyed (Neligan, 2006). The inflammatory response can be excessive at times and causes local cellular destruction (Neligan, 2006). In septic patients, damage to their own tissues occurs throughout the body in the vasculature…

Fadiman’s The Spirit Catches You and You Fall Down addresses experiences and decisions we may all relate to in some degree through the narrative of a journalist. It offers a different perspective and insightfulness that has been used as an acceptable resource on teaching cultural competence. As a passive reader, our understanding of cultural competence has grown more humanistic, because we feel the healthcare provider’s frustration and their concerns becoming more salient, while we see how a…

he went home and had trouble breathing. Christmas comes and goes and on the morning of the 26th, Cyndi, John’s wife awakes to him screaming. John arrives at the ER at 7 a.m. and 2:30 p.m. he is suffering with pneumonia in the ICU. He went into septic shock, and his body was shutting down. John went on life support that day. Cyndi received a phone call at 3:30 a.m. telling her john had died. 2…

be more difficult to ascertain” (EMedicineHealth). Any person who has an infection, or who has just come out of a surgery and has an open wound can become septic. “Hospitalized patients are at risk to develop sepsis from infections due to intravenous lines, catheters, surgical wounds, and/or bedsores” (EMedicineHealth). When someone becomes septic, the body immediately tries to fight…

that she may see the return of Lia’s soul and witness her awaken from an irreversible vegetative state. In retrospect, the American doctors realized that the medication probably compromised Lia’s immunity allowing the bacillus that caused septic shock to take hold. This resulted in seizures that ended in Lia’s catastrophic outcome. The writing is a testament to the enormous wealth of research that the writer has undertaken, evident in the Notes on Sources and Bibliography.…

I’ve accumulated patient contact hours through multiple venues. I worked at a rehabilitation center where I’ve dealt with geriatric patients and helped patients with daily living activities. Couple months afterwards, I applied at Memorial hospital where I can provide patient care to a more diverse group of patients. It was here that I experienced a difficult situation regarding patient care and interpersonal relations. Hurricane Irma caused devastation throughout Florida and the aftermath tested…

Blood stream infection or sepsis is a life threatening condition. It is caused by the presence of pathogens, mainly bacteria and fungi or their toxins in the blood stream (D. C. Angus and T. van der Poll, 2013). In the USA, septic shock is considered the 10th leading cause of death (Heron, M., D. L, 2006). More than one million sepsis cases are reported annually in the US alone (National Center for Health, 2011). 28% to 50 % of these cases end in fatality (Wood KA, Angus DC, 2004), exceeding…

failure – pCO₂ > 50 mmHg ○ Type 3 (Peri-operative) – Results from impaired abdominal wall mechanics – May result in type 1 or type 2 respiratory failure – Common in the post-operative period ○ Type 4 (Shock) – Occurs during resuscitation for septic, hypovolemic and cardiogenic shock…

extremely high with an untreated fatality rate approaching 100% {Brachman , 1966}. Injectional anthrax infection caused by parenteral injection of contaminated material (i.e. heroin) manifests with a severe soft-tissue infection at the injection site, septic shock, and meningitis {Ringertz et al, 2004}. This form of anthrax is unnatural and more severe than cutaneous anthrax infection with distinctive features in its clinical presentation, course and management. It has a mortality rate of 37%…