Nursing Care for Sepsis Singapore

Nursing Care for Sepsis Singapore


Sepsis is a condition in which the body responds to an infection together with an inflammatory response to these foreign body invaders. Chemicals are usually released causing inflammation to organs. It also occurs when there is an untreated infection which can be caused by a bacteria, virus, or fungus for example. This is life-threatening and may lead to septic shock which is the end stage condition of sepsis. This condition can be usually seen among the elderly and those with compromised or weak immune system. Aggressive main treatment includes antibiotics, IV fluid, to name a few.

Cause and Symptoms

Cause of sepsis includes medical conditions that can be any source of infection such as pneumonia, kidney infection, blood infection for example. Other causes include aging population, gene tic , drugs that are resistant to some forms of bacteria, and lastly people with weak immune systems such as HIV or cancer patients.

Guidelines for sepsis can be broken down into 3 main stages, namely sepsis, severe sepsis and the last stage is septic shock. Symptoms of sepsis have a qualifier. Patients must have at least two of the clinical symptoms which include fever of more than 38.3 degree Celsius, heart rate that is more than 90 bpm, and breathing or respiratory rate of more than 20 cycles per minute. Severe sepsis (next stage) will occur if there are the following sign and symptoms: lesser urine output, mental changes, lesser platelet counts, pain in the abdomen and breathing difficulties plus the symptoms of sepsis. Last stage which is septic shock happens when there is extremely low blood pressure plus the symptoms of severe sepsis. This is just a guide but not a basis for diagnosis.

Nursing Care Plan for Sepsis

The nursing g staff must contribute their best to help the patient with sepsis based illness in a hospital by applying a health care plan suitable for them. The nurse must be able to report any symptoms of sepsis from the beginning of the admission. Nurses should also share and collaborate with other healthcare staff and relatives to find or search the best options for their loved ones by organizing a family conference. The nurse must also make sure that antibiotics are given, adequate fluid is maintained and monitoring of vital signs must be consistent including the temperature. Daily monitoring of lab results are also crucial for pa tien t with early sepsis as the infection is also being monitored daily if he or she responds to treatment. The nurse must also watch out for signs of severe sepsis and must not wait for it to progress to septic shock.


Sepsis can lead to death if not treated early. Thus, patients must report fever that is the first sign of infection. They must go to the nearest hospital for evaluation. Archive, news, resources, new education data can be read online whether at home, in clinic, or in the hospital for information about sepsis.

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