Mini Care Plan- Week 1 - Alice Ngo Mini Care Plan 1 MiniCarePlanWeek1 InfectionR/,diagnosisofsepsis, Criteria2Pathophysi

Mini Care Plan- Week 1 - Alice Ngo Mini Care Plan 1...

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Alice Ngo 3/22/16 Mini Care Plan 1 Mini Care Plan- Week 1 Criteria 1- Nursing Diagnosis: Infection R/T urinary tract infection with obstruction, diagnosis of sepsis, and enterococcus bacteria  inside right nephrostomy tube AEB by altered mental status and fever of 103.   Criteria 2- Pathophysiology: Sepsis reflects a circulatory dysfunction caused by immunologic overactivity. When a localized  inflammatory response becomes systemic, capillaries grow more permeable, hypotension sets in,  and fluid and immune mediators are released. These events compromise blood flow to organs and  tissues. Intravascular volume decreases and abruptly drops too low to maintain tissue perfusion.  Adrenaline release occurs in response to marked vascular dilation and inadequate vascular volume,  causing tachycardia. Increased capillary permeability and release of proinflammatory mediators  trigger clotting and lysis alterations. These changes, in turn, cause microthrombi to form in the  capillaries, restricting oxygen availability to tissues. Cells then switch from aerobic to anaerobic  metabolism; the resulting lactic acid buildup causes metabolic acidosis. Lack of circulating volume  reduces organ perfusion, leading to organ failure and, without proper treatment, death,” (Bernstein,  M. & Lynn, S, 2013). With T.J., he also had enterococcus inside his right nephrostomy tube and a  urinary tract infection with obstruction. These problems had compounded which lead to him  developing sepsis. Fortunately, they were able to detect the changes early before organ failure set  in.   Criteria 3- Assessment data: Subjective data:  Pt had altered mental status and was only oriented to x1 Objective data:  Elevated temperature of 103, elevated WBC count of 13.8, positive urinalysis for 
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  • Fall '16
  • 1980s music groups, urinary tract infection, Alice Ngo, right nephrostomy tube, Mini Care Plan

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