Lat Sheryll, Mashlan Wendy, Heffey Susan, Jones Bridie
Abertawe Bro Morgannwg University Health Board, Bridgend, Wales.
University of South Wales, Wales.
Nurs Older People. 2018 Feb 26;30(2):35-38. doi: 10.7748/nop.2018.e975.
Sepsis is a common condition caused by the body's immune and coagulation systems being 'switched on' by the presence of infection, either through bacteria or viruses in the blood. If untreated, sepsis can be life-threatening and is a leading cause of death in hospital patients worldwide. However, awareness of sepsis is low. This article provides an overview of the important role played by nurses in acute hospital settings in the early identification and treatment of suspected sepsis in frail older patients, and in escalating the care and management of deteriorating patients. It also explores recommendations in the 2016 National Institute for Health and Care Excellence guideline on sepsis recognition, diagnosis and early management.
脓毒症是一种常见病症,由感染引发,致使人体免疫和凝血系统“启动”,感染源可以是血液中的细菌或病毒。若不加以治疗,脓毒症会危及生命,是全球住院患者死亡的主要原因之一。然而,人们对脓毒症的认知程度较低。本文概述了护士在急症医院环境中所发挥的重要作用,包括在体弱老年患者中早期识别和治疗疑似脓毒症,以及在病情恶化患者的护理和管理方面进行升级。文章还探讨了2016年英国国家卫生与临床优化研究所(National Institute for Health and Care Excellence)脓毒症识别、诊断及早期管理指南中的相关建议。