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Exam (elaborations)

Medical-Surgical Nursing: Sepsis – Assessment and Management

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This Medical-Surgical: Sepsis PDF provides a comprehensive overview of sepsis, its pathophysiology, clinical manifestations, and nursing management. It emphasizes early recognition of systemic infection, vital sign monitoring, laboratory assessment, and prompt interventions such as IV fluid resuscitation, antibiotic administration, and hemodynamic support. The guide is designed for nursing students and clinicians to enhance critical thinking, clinical decision-making, and application of evidence-based practices in managing patients with sepsis. It also highlights patient safety, monitoring for complications, and patient education to prevent progression to septic shock.

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November 12, 2025
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2025/2026
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Medical surgical a sepsis



Description of Skill
Medical Asepsis: The use of precise practices to reduce the number, growth, and spread of microorganisms (clean technique) e.g. administering oral medication, managing nasogastric tubes,
providing personal hygiene

Surgical Asepsis: The use of precise practices to eliminate all microorganisms from an object or area and prevent contamination (sterile technique) e.g. parenteral medication administration,
insertion of urinary catheters, surgical procedures, sterile dressing changes




Indications Nursing Interventions (pre, intra, post)
Pre: Maintain a sterile field, only sterile items in the sterile field. Outer wrapping and 1 inch
border around the edges are not sterile. Any object below waist or above chest is
Check for latex allergies, hand hygiene, considered contaminated
cover mouth when coughing or sneezing, Intra: Perform hand hygiene. Set up sterile field. Open top flap away from the body. Pour
sterile solutions. Place bottle cap face up clean on a non-sterile surface. Don sterile
wash hair frequently and keep short or gloves.
pulled back, keep natural nails short and Post: Remove gloves, take them off by grasping outer part of glove at the cuff area, avoid
touching the wrist and pull glove over fingersand into hand that is still gloved. Then,
clean without nail polish, wear protective placed ungloved hand inside the soiled glove and pull glove inside out until only clean
inside part is exposed. Discard into an appropriate receptacle.
clothing if directed




Outcomes/Evaluation
Client Education
-Patient will show no signs and symptoms of
infection as evidenced by VS within normal -Proper hand hygiene
limits and absence of signs and symptoms of -Emphasize importance of covering the
infection mouth and nose when coughing or sneezing
-Maintain medical and/or surgical asepsis for -Ensure spatial separation of 3 ft from those
procedure with a cough or wear a mask
-Early recognition of infection to allow prompt
treatment




Potential Complications Nursing Interventions
Infection and/or contamination Perform hand hygiene after contact with anything in
the client's rooms and after touching contaminated
items. Remove all jewelry to facilitate hand
disinfection. Before beginning any task or procedure
that requires aseptic tecnique, health care team
members must check for latex allergies. Use masks,
gloves, gowns, and protective eyewear (proper PPE)
to help control the contact and spread of
microorganisms to staff and clients.

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