Articles: sepsis.
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Crit Care Nurs Clin North Am · Jun 1994
ReviewThe systemic inflammatory response, sepsis, and multiple organ dysfunction: new definitions for an old problem.
Sepsis is one of the leading causes of morbidity and mortality in the United States. Until recently, there was much variation in the definition and descriptions of sepsis. This article outlines the report of the consensus conference between the Society of Critical Care Medicine and the American College of Chest Physicians, which established recommendations for the terminology to be used when describing sepsis. An overview of the epidemiology of sepsis and the current state-of-the-art therapy are also provided.
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Crit Care Nurs Clin North Am · Jun 1994
ReviewAnti-infective drugs in the prevention and treatment of sepsis syndrome.
Anti-infective drugs may be used to prevent or treat infectious diseases. Preventing serious infections using aerosolized drugs, selective decontamination of the intestinal tract, or devices impregnated with anti-infective materials generally has been unsuccessful. Treatment of serious infections arising from the community or hospital setting requires knowledge of the most likely pathogens responsible for the illness, the antimicrobial susceptibility of those organisms, and the proper dosing of antimicrobial therapy.
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Sepsis and organ failure are significant causes of morbidity and mortality in the geriatric patient. A number of factors contribute to increased risk of septic complications in the elderly. ⋯ Atypical presentation is also common with infection in the elderly. The key to blunting the effects of severe infection in the elderly is rapid diagnosis and aggressive resuscitation.
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Acute renal failure in the critically ill patient may have a wide range of clinical presentations and necessitate numerous nursing interventions. This article reviews the etiologies, pathophysiology, and diagnoses related to acute kidney dysfunction with a particular emphasis on sequelae related to sepsis. Additionally, the nursing care for managing patients with acute renal failure with the available renal replacement modalities is discussed.
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Sepsis is noted for producing disruptions in hemostasis. The patient-related risk factors, clinical presentation, and management strategies are dependent upon the presiding disorder. ⋯ Nursing care focuses on prevention, early recognition, and supportive care for the thrombotic or bleeding patient. An overview of the disorders of hemostasis in sepsis and nursing care of these patients are described in this article.