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47M
Septic Shock (Diagnostics (Na 150 (135-145) (bolus 500ml D5W), Wound…
47M
Septic Shock
Diagnostics
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Vancomycin trough 16.2 (10-15) #
CXR--> basal actelectasis bilaterally #
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Medications
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titrate to maintain MAP 65 #
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Assessment
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BP--> low... MAP goal of 65 #
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Client hx
Stage IV Colon Cancer
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patho
abnormal proliferation of cells in colon area--> Arising from epithelial lining of the intestine--> Benign polyps occur--> Continues increase in size--> Metastases of cancer cells in other organs--> proliferation of cancer cells in that area--> formation of new tumors--> Continuing complications-->eventually death
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Patho
abdominal organs perforate--> release their contents into the peritoneal cavity--> Intestinal contents and bacteria irritate the normally sterile peritoneum--> produce an initial chemical peritonitis--> Bacterial peritonitis develops a few hours later. The resulting inflammatory response leads to massive fluid shifts (peritoneal edema) and adhesions as the body attempts to wall off the infection.
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Client outcomes
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Clients family will be educated on the severity of clients condition, and demonstrate understanding by the end of the shift.
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