Question

The healthcare provider prescribes a sepsis protocol for a pt with organ failure caused by a ruptured appendix. Which intervention is most important for the nurse to include in the plan of care?

Answer 1

The most important intervention for a patient with sepsis and organ failure due to a ruptured appendix is the early administration of antibiotics, guided by cultures and sensitivity testing. Supportive therapies and maintaining a sterile environment are also critical components of the sepsis protocol.

Step-by-step explanation:

The treatment for sepsis following organ failure due to a ruptured appendix should prioritize rapid and effective interventions. The most important intervention in the plan of care for a patient with sepsis is the administration of antibiotics. Early and aggressive antibiotic therapy is critical to combat the infection causing sepsis. Ensuring that the antibiotics chosen are appropriate for the underlying infection is essential, which may require cultures and sensitivity testing to identify the bacteria and their antibiotic susceptibilities.In addition to antibiotics, the protocol should include supportive therapies such as fluid resuscitation to address hypotension and shock, vasopressors to maintain adequate blood pressure, and potentially organ support like renal replacement therapy or mechanical ventilation if indicated by the extent of organ dysfunction. Recognizing the signs of septic shock, such as a significant drop in blood pressure and alterations in mental status, is paramount in guiding the intensity of interventions.Overall, maintaining a sterile environment during medical procedures and close monitoring of the patient's response to the treatment are crucial steps in the management of sepsis and prevention of further complications.