Nursing assessment and management of sepsis in an adult
1. Is the patient talking to you? Yes- speech is slurred, Mr. Cowell is drowsy
2. Are there signs of visible airway obstruction?
E.g. choking, blood, vomit NO chocking, no blood and no vomit
3. Are there signs of audible airway obstruction?
E.g. abnormal sounds, absence of sounds NO
Breathing
What is the patient’s workload of breathing?
Respiratory Rate 28 breaths/min, and his accessory muscles are being used to assist his breathing pattern, depth, rate, pattern unknown
2. What is the patient’s oxygenation?
SPO2 90% on room Air,
PaO2 9.5kPa
PaCO2 5.8kPa
pH 7.33
Bicarbonate 18.0 mmol/L
Lactate 2.2 mmol/L
3. Other
No any Cough or sputum production.
