Advanced arterial blood gas analysis in septic shock : a Singaporean nursing case review.

Christensen, Martin & Chen, Fiona (2013) Advanced arterial blood gas analysis in septic shock : a Singaporean nursing case review. Intensive and Critical Care Nursing, 29(2), pp. 70-77.

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Introduction The admission to the Intensive Care Unit with a diagnosis of sepsis and/or septic shock is not uncommon. The aim of this article is to present a nursing case review of a patient admitted to the intensive care unit with a diagnosis of septic shock and the use of bedside acid–base formulae to inform clinical decision making. Method We chose to use a case review. This method is useful in reporting unusual or rare cases and is typically seen more in medicine than in nursing. Discussion The gentleman in question was a self-presentation with a short history of fever and worsening shortness of breath. His condition worsened where he required admission to the intensive care unit. The use of ‘advanced’ acid–base interpretation to guide his nursing care provided a platform from which to advance a deeper understanding of the intricacies the critically ill patient often presents. Conclusion The use of case review is enlightening in understanding the disease process and the decision-making that accompanies this. The lessons learnt are applicable to a wider nursing audience because understanding acid–base physiology is beneficial in supporting and advancing critical care nursing practice.

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ID Code: 68970
Item Type: Journal Article
Refereed: Yes
Keywords: sepsis, septic shock, case review, case reports, acid-base balance
DOI: 10.1016/j.iccn.2012.08.002
ISSN: 0964-3397
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Clinical Nursing - Secondary (Acute Care) (111003)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Nursing
Copyright Statement: © 2012 Elsevier Ltd. All rights reserved.
Deposited On: 20 Mar 2014 03:21
Last Modified: 21 Mar 2014 04:07

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