Nurses performance in early identification of sepsis: an integrative review

Detalhes bibliográficos
Autor(a) principal: Santos, Maria Claudia Cisterna dos
Data de Publicação: 2021
Outros Autores: Rodrigues, Kauanny Zangalli, Dana, Gabrielle Antunes, Souza, Leandro Aparecido de, Silveira, Miriam Sanches do Nascimento
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Scire Salutis
Texto Completo: https://sustenere.inf.br/index.php/sciresalutis/article/view/6325
Resumo: Sepsis is a disease that occurs in response to an infection when it is not early diagnosed and treated, which can lead to septic shock, multiple organ failure and even death. To identify the main care of nurses and the early assessment of patients with sepsis in the Intensive Care Units. This is an integrative literature review by searching the virtual libraries Medline, Lilacs, PubMed research published in period 2014 to 2020. The main nursing care identified are: observation of heart rate; verification of CVP, venous oxygen saturation and arterial blood gases; monitoring tissue hypoperfusion – observing peripheral capillary refill, skin color and blood pressure; hypoxemia - continuous monitoring of SvpO2 and oliguria - daily fluid balance; perform blood culture collection and administration of antibiotics and vasoactive drugs according to protocol. Care must be optimized, based on scientific knowledge and constant updates, promoting competent and individualized care. There are many challenges during the process, which involve: restriction of nursing care in starting the three-hour package; difficulties in meeting antibiotic administration time due to delay in prescription or pharmacy delivery; delay in the response of the activated services (laboratory, pharmacy,) and delay in medical diagnosis.
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spelling Nurses performance in early identification of sepsis: an integrative reviewAtuação do enfermeiro na identificação precoce da sepse: uma revisão integrativaSepseEnfermagemTerapia IntensivaDiagnóstico PrecoceSepsisNursingIntensive CareEarly DiagnosisSepsis is a disease that occurs in response to an infection when it is not early diagnosed and treated, which can lead to septic shock, multiple organ failure and even death. To identify the main care of nurses and the early assessment of patients with sepsis in the Intensive Care Units. This is an integrative literature review by searching the virtual libraries Medline, Lilacs, PubMed research published in period 2014 to 2020. The main nursing care identified are: observation of heart rate; verification of CVP, venous oxygen saturation and arterial blood gases; monitoring tissue hypoperfusion – observing peripheral capillary refill, skin color and blood pressure; hypoxemia - continuous monitoring of SvpO2 and oliguria - daily fluid balance; perform blood culture collection and administration of antibiotics and vasoactive drugs according to protocol. Care must be optimized, based on scientific knowledge and constant updates, promoting competent and individualized care. There are many challenges during the process, which involve: restriction of nursing care in starting the three-hour package; difficulties in meeting antibiotic administration time due to delay in prescription or pharmacy delivery; delay in the response of the activated services (laboratory, pharmacy,) and delay in medical diagnosis.Sepse é uma doença que ocorre em resposta a uma infecção quando não é diagnosticada precocemente e tratada, podendo levar a um quadro de choque séptico, falência de múltiplos órgãos e até mesmo a morte. Identificar os principais cuidados, dificuldades e avaliação precoce dos pacientes com Sepse nas Unidades de Terapia Intensiva. Trata-se de uma revisão integrativa da literatura por meio de busca nas bibliotecas virtuais Medline, Lilacs, PubMed, no período de 2014 a 2020. Os principais cuidados de enfermagem identificados são: observação da frequência cardíaca; verificação da PVC, saturação venosa de oxigênio e gasometria arterial; monitorização da hipoperfusão tecidual – observando o enchimento capilar periférico, coloração da pele e pressão arterial; hipoxemia - acompanhamento contínuo da SvpO2 e oligúria - realizar balanço hídrico diário; realizar coleta de hemocultura e administração de antibióticos e fármacos vasoativos conforme protocolo. A assistência deve ser de forma otimizada, embasada em conhecimentos científicos e atualizações constante, promovendo cuidado competente e individualizado. Muitos são os desafios durante o processo, nos quais se implicam em: restrição da assistência de enfermagem em iniciar o pacote de três horas; dificuldades em cumprir tempo de administração do antibiótico por demora de prescrição ou envio da farmácia; demora da resposta dos serviços acionados (laboratório, farmácia) e demora do diagnóstico médico.Sustenere Publishing2021-09-28info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://sustenere.inf.br/index.php/sciresalutis/article/view/632510.6008/CBPC2236-9600.2022.001.0014Scire Salutis; Vol. 12 No. 1 (2022): Scire Salutis - Out, Nov, Dez 2021, Jan 2022; 120-127Scire Salutis; Vol. 12 Núm. 1 (2022): Scire Salutis - Out, Nov, Dez 2021, Jan 2022; 120-127Scire Salutis; v. 12 n. 1 (2022): Scire Salutis - Out, Nov, Dez 2021, Jan 2022; 120-1272236-9600reponame:Scire Salutisinstname:Companhia Brasileira de Produção Científica (CBPC)instacron:ESSporenghttps://sustenere.inf.br/index.php/sciresalutis/article/view/6325/3454https://sustenere.inf.br/index.php/sciresalutis/article/view/6325/3470Copyright (c) 2022 Scire Salutishttp://creativecommons.org/licenses/by-nc-nd/4.0info:eu-repo/semantics/openAccessSantos, Maria Claudia Cisterna dosRodrigues, Kauanny ZangalliDana, Gabrielle AntunesSouza, Leandro Aparecido deSilveira, Miriam Sanches do Nascimento2023-01-04T20:16:22Zoai:ojs.pkp.sfu.ca:article/6325Revistahttps://sustenere.co/index.php/sciresalutisONGhttps://sustenere.co/index.php/sciresalutis/oai||carlos@arvore.org.br2236-96002236-9600opendoar:2023-01-04T20:16:22Scire Salutis - Companhia Brasileira de Produção Científica (CBPC)false
dc.title.none.fl_str_mv Nurses performance in early identification of sepsis: an integrative review
Atuação do enfermeiro na identificação precoce da sepse: uma revisão integrativa
title Nurses performance in early identification of sepsis: an integrative review
spellingShingle Nurses performance in early identification of sepsis: an integrative review
Santos, Maria Claudia Cisterna dos
Sepse
Enfermagem
Terapia Intensiva
Diagnóstico Precoce
Sepsis
Nursing
Intensive Care
Early Diagnosis
title_short Nurses performance in early identification of sepsis: an integrative review
title_full Nurses performance in early identification of sepsis: an integrative review
title_fullStr Nurses performance in early identification of sepsis: an integrative review
title_full_unstemmed Nurses performance in early identification of sepsis: an integrative review
title_sort Nurses performance in early identification of sepsis: an integrative review
author Santos, Maria Claudia Cisterna dos
author_facet Santos, Maria Claudia Cisterna dos
Rodrigues, Kauanny Zangalli
Dana, Gabrielle Antunes
Souza, Leandro Aparecido de
Silveira, Miriam Sanches do Nascimento
author_role author
author2 Rodrigues, Kauanny Zangalli
Dana, Gabrielle Antunes
Souza, Leandro Aparecido de
Silveira, Miriam Sanches do Nascimento
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Santos, Maria Claudia Cisterna dos
Rodrigues, Kauanny Zangalli
Dana, Gabrielle Antunes
Souza, Leandro Aparecido de
Silveira, Miriam Sanches do Nascimento
dc.subject.por.fl_str_mv Sepse
Enfermagem
Terapia Intensiva
Diagnóstico Precoce
Sepsis
Nursing
Intensive Care
Early Diagnosis
topic Sepse
Enfermagem
Terapia Intensiva
Diagnóstico Precoce
Sepsis
Nursing
Intensive Care
Early Diagnosis
description Sepsis is a disease that occurs in response to an infection when it is not early diagnosed and treated, which can lead to septic shock, multiple organ failure and even death. To identify the main care of nurses and the early assessment of patients with sepsis in the Intensive Care Units. This is an integrative literature review by searching the virtual libraries Medline, Lilacs, PubMed research published in period 2014 to 2020. The main nursing care identified are: observation of heart rate; verification of CVP, venous oxygen saturation and arterial blood gases; monitoring tissue hypoperfusion – observing peripheral capillary refill, skin color and blood pressure; hypoxemia - continuous monitoring of SvpO2 and oliguria - daily fluid balance; perform blood culture collection and administration of antibiotics and vasoactive drugs according to protocol. Care must be optimized, based on scientific knowledge and constant updates, promoting competent and individualized care. There are many challenges during the process, which involve: restriction of nursing care in starting the three-hour package; difficulties in meeting antibiotic administration time due to delay in prescription or pharmacy delivery; delay in the response of the activated services (laboratory, pharmacy,) and delay in medical diagnosis.
publishDate 2021
dc.date.none.fl_str_mv 2021-09-28
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://sustenere.inf.br/index.php/sciresalutis/article/view/6325
10.6008/CBPC2236-9600.2022.001.0014
url https://sustenere.inf.br/index.php/sciresalutis/article/view/6325
identifier_str_mv 10.6008/CBPC2236-9600.2022.001.0014
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://sustenere.inf.br/index.php/sciresalutis/article/view/6325/3454
https://sustenere.inf.br/index.php/sciresalutis/article/view/6325/3470
dc.rights.driver.fl_str_mv Copyright (c) 2022 Scire Salutis
http://creativecommons.org/licenses/by-nc-nd/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Scire Salutis
http://creativecommons.org/licenses/by-nc-nd/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sustenere Publishing
publisher.none.fl_str_mv Sustenere Publishing
dc.source.none.fl_str_mv Scire Salutis; Vol. 12 No. 1 (2022): Scire Salutis - Out, Nov, Dez 2021, Jan 2022; 120-127
Scire Salutis; Vol. 12 Núm. 1 (2022): Scire Salutis - Out, Nov, Dez 2021, Jan 2022; 120-127
Scire Salutis; v. 12 n. 1 (2022): Scire Salutis - Out, Nov, Dez 2021, Jan 2022; 120-127
2236-9600
reponame:Scire Salutis
instname:Companhia Brasileira de Produção Científica (CBPC)
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instacron_str ESS
institution ESS
reponame_str Scire Salutis
collection Scire Salutis
repository.name.fl_str_mv Scire Salutis - Companhia Brasileira de Produção Científica (CBPC)
repository.mail.fl_str_mv ||carlos@arvore.org.br
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