Yoğun Bakım Ünitesinde Sepsis ve Hemşirelik Yönetimi

Sepsis is an important problem that is frequently seen in the intensive care unitsthroughout the world and in Turkey, increasing the risk of morbidity and mortality, thelength of stay in the unit and the cost of care. Although the incidence of sepsis is highin critically ill patients, the survival rate increases when diagnosed early. However, whenthe early warning signs of sepsis are missed, the severity of sepsis increases and organfailure occurs due to septic shock in the patient. Therefore, the Sepsis Survival CampaignGuide draws attention to the first hour after sepsis is diagnosed and recommends thattreatment be initiated rapidly during this period. Nurses, who have the opportunity todirectly observe the acute changes associated with sepsis in patients in the intensivecare units, have an important place in the early diagnosis of sepsis. As the awarenessof the multidisciplinary intensive care team and especially of the nurses about sepsisincreases, the effectiveness of early diagnosis and treatment will also increase. Theaim of this review, which was prepared in line with current literature-based data, is toincrease the knowledge and skills of critical care nurses for the diagnosis and treatmentof sepsis. For this purpose, the epidemiology, etiology, physiopathology, clinicalfindings, diagnosis and treatment approaches, and nursing management algorithm insepsis are discussed in the light of current guidelines in this review. It is thought that thisreview will guide nurses in the diagnosis and treatment process of sepsis and supportcare protocols.