Lester Donna, Hartjes Tonja, Bennett Amanda
Donna Lester is an adjunct clinical assistant professor, Tonja Hartjes is a clinical associate professor, and Amanda Bennett is an adult gerontology acute care NP, all in the Adult-Gerontology Acute Care Nurse Practitioner Program at the University of Florida College of Nursing, Gainesville. Contact author: Donna Lester,
Am J Nurs. 2018 Aug;118(8):40-49. doi: 10.1097/01.NAJ.0000544139.63510.b5.
: Sepsis is an extreme response to infection that can cause tissue damage, organ failure, and death if not treated promptly and appropriately. Each year in the United States, sepsis affects more than 1.5 million people and kills roughly 250,000. Prompt recognition and treatment of sepsis are essential to saving lives, and nurses play a critical role in the early detection of sepsis, as they are often first to recognize the signs and symptoms of infection. Here, the authors review recent revisions to the sepsis care bundles and discuss screening and assessment tools nurses can use to identify sepsis in the ICU, in the ED, on the medical-surgical unit, and outside the hospital.
脓毒症是对感染的一种极端反应，如果不及时、恰当地治疗，可导致组织损伤、器官衰竭和死亡。在美国，每年有超过150万人受到脓毒症影响，约25万人死亡。及时识别和治疗脓毒症对于挽救生命至关重要，护士在脓毒症的早期检测中发挥着关键作用，因为他们通常是最先识别感染迹象和症状的人。在此，作者回顾了脓毒症护理集束方案的最新修订内容，并讨论了护士可用于在重症监护病房、急诊科、内科-外科病房及院外识别脓毒症的筛查和评估工具。
