Intensive Care Nursing/Sepsis Scenarios/Medical Sepsis Unfolding Case Study 2/Medical Sepsis Scenario 2 p2/Medical Sepsis Scenario 2 p3
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The next day[edit | edit source]
When you return for your shift the next day, the EEG showed no acute findings and the CT showed some swelling. The results from the lumbar puncture showed low glucose levels, increased protein and white blood cells, and a gram stain which was positive for gram negative bacteria which all pointed to bacterial meningitis as the culprit of the patient’s symptoms. MB's blood pressure had decreased overnight with norepinephrine needing to be started to maintain their blood pressure.
Current vital signs are:
Temperature: 38.7 C (101.6 F)
HR: 115
BP: 94/61
RR: 19
SpO2: 98% on room air
Preliminary results from urine and blood cultures drawn on admission have been negative for any bacteria