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Journal : Indonesian Journal of Global Health research

Septic Shock due to Acinetobacter Baumannii Infection with Complications of Acute Respiratory Distress Syndrome: A Case Report Christina, Mikha; Noya, Fricilia; Freitas, Lurdes Acorta; Reis, Silvestre Dos; Priambodo, Ayu Prawesti; Mirwanti, Ristina
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3466

Abstract

Sepsis shock, characterized by sepsis-induced circulatory or metabolic disturbances, remains the leading cause of death in ICUs globally. Infection by Acinetobacter baumannii, which is frequently found in medical environments, can trigger life-threatening sepsis shock. This condition occurs when the bacteria or its bacterial products trigger adverse reactions from the immune system. ARDS, as a serious complication, results from endothelial damage that causes fluid to enter the alveoli, disrupting gas exchange and leading to respiratory failure. Purpose to describe a case in a patient diagnosed with epilepticus, with a history of autistic disorder, and non-specific pneumonia aged 30 years. This case report reviews a 30-year-old man admitted with a diagnosis of status epilepticus, with a history of autistic disorder, and non-specific pneumonia. The patient showed progressive improvement with initial therapy, including antiepileptic therapy and empirical antibiotics for pneumonia. However, the patient's condition deteriorated later, resulting in Acute Respiratory Distress Syndrome (ARDS) due to septic shock by Acinetobacter baumannii. The patient required mechanical ventilation and intensive management, including a change in antibiotic therapy and tracheostomy. With appropriate intervention, the patient showed improvement and was successfully discharged from mechanical ventilation. This patient with severe ARDS caused by sepsis shock due to Acinetobacter baumannii infection, demonstrates the importance of prompt and appropriate management of the complications of sepsis to prevent the patient's death. Acinetobacter baumannii infection causing ARDS and sepsis shock is a serious and rarely reported case, where aggressive treatment of sepsis with appropriate antibiotics and careful management of mechanical ventilation can improve the progression of ARDS.
Nursing Process for Critical Patients and Their Families in Cardiac Intensive Care Unit Setiawan, Deris Riandi; Ramdani, Dadan; Larashati, Defa; Noya, Fricilia; Yusanti, Irma; Anna, Anastasia
Indonesian Journal of Global Health Research Vol 6 No 5 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i5.3481

Abstract

The Cardiac Intensive Care Unit or CICU is a hospital unit specifically for treating acute cardiovascular disease. The implementation of structured nursing standards is very important to ensure optimal quality of care. This narrative review was conducted to compare the application of the NANDA NIC-NOC (3N) model and the 3S Model in improving the quality of care in the CICU. Objective: This study aims to explore the application of nursing standards using the NANDA NIC-NOC model and the Indonesian Nursing Standards 3S (SDKI, SLKI, SIKI) in improving the quality of care in the CICU. Methods: The research design used in this study was a narrative review by searching for articles from PubMed with the keywords Nurses's Roles OR Roles, Nurse's OR Role, Nurse's OR Nurse Role AND Management, Airway OR Airway Control OR Control, Airway. Inclusion criteria included accessible full-text articles in English. Data was analyzed descriptively Results: From the research, 5 articles were obtained that were relevant to the research. This research conducted in several countries found that the implementation of nursing standards can improve the quality of care and patient outcomes in CICUs. The use of NIC and NOC standards helps nurses plan, implement and evaluate patient care systematically and effectively. Conclusions: Implementation of nursing standards has great potential in improving the quality of care in CICUs. There are limitations in empirical validation and adaptation to local context that need to be addressed. Recommendations for further research and development of intensive training programs are needed to ensure the effectiveness and sustainability of implementation of these nursing standards.