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UTI with Septic shock, Dysregulated Host Response, Pathogen (Bacteria,…

- - - - Vitamin K
      - Meropenem
      - Levophed
      - Ciprofloxacin
- - - - ปัจจัยผู้ป่วย
        
        ปัสสาวะแสบขัด
        
        ปัสสาวะออกน้อย
        
        ค่า BUN
        
        21/8/64 : 30 mg/dl
        
        22/8/64 : 25 mg/dl
        
        20/8/64 : 34 mg/dl
        
        ค่า Cr
        
        21/8/64 : 1.24 mg/dl
        
        22/8/64 : 0.89 mg/dl
        
        20/8/64 : 1.57 mg/dl
- - - - ↓ Level of consciousness
    - - Thrombocytopenia ↑ INR or aPTT
    - - ↓ PaO2 / FiO2 (mmHg)
    - - ↑ Billirubin
        
        Septic shock
        
        ↓ Mean arterial pressure (< 65 mmHg), ↑ Lactate (> 2 mol/L)
        
        Require vasopressors to ↑ mean arterial pressure
    - - ↑ Creatinine acute oliguria
    - - ↓ Mean arterial pressure
- - - - Fever, Leukocytosis/ Leukopenia, Left Shift/ Bandemia
    - - Tachypnea, Altered level of Consciousness Hypotension
        
        ↓ perfusion and oxygen delivery to organs