Urosepsis NUR 265 FINAL Questions And Answers Rated A+ New Update Assured Satisfaction

what do you want to assess in a pt with urosepsis? - -LOC -urine output (decreased) -skin color & temp (initially warm & flushed, then becomes cold & clammy) -bleeding due to body consuming clotting factors at a higher rate what would be an early signs/symptoms of urosepsis? - -warm & flushed skin -bounding pulses what would be a later signs/symptoms of urosepsis? - -tachycardia -hypotension -tachypena -weak pulses -decreased LOC -cold, cyanotic, mottled skin -derased or absent urine output & bowel sounds what are some latest/end of life sings/symptoms of urosepsis? - -excessive bleeding -death name 2 causes of urosepsis: - -recurrent infections -poorly treated poly-nephritis when ______decreases _______ also decreases - cardiac output decreases, urine output also decreaseswhat would pts VS be with urosepsis? - -hypotension due to vasodilation with sepsis -tachycardia -decreased cardiac output -febrile(warm skin) initally then hypothermic as body starts to shut down (color in hands & feet begin to change) what would the pts ABGs look like with urosepsis? - respiratory alkalosis due to tachycardia -leads to metabolic acidosis in later stages due to not enough O2, body shutting down what are the st organs to go with sepsis? - renal & liver *expect to see liver fx test, BUN & creatine to be elevated* what is urosepsis? - condition where a urinary tract infection spreads from the urinary tract to the blood stream causing a systemic infection & mult organ failure *LIFE THREATING* would you expect to see lactate elevated or decreased with urosepsis? - increase as muscle & tissue breakdown *early sign of sepsis* what are you going to do for the pt with sepsis? - -wash hands -always use aseptic technique -administer O2 as needed -anticipate & prepare for intubation -obtain blood cultures -administer antibiotics after cultures are obtained -administer fluid replacement what is lactate? - regulator of metabolism what would the nursing dx be for a pt with urosepsis? - altered tissue perfusion related to inadequate cardiac output