Intensive Care Nursing/Sepsis Scenarios/Surgical Sepsis Unfolding Case Study/Surgical Sepsis Scenario p2/Surgical Sepsis Scenario p3

The Next Day

The patient has been scheduled to go to the OR during your present shift for exploratory laparotomy for possible cleanout of abdomen and peritoneum. Blood pressure had decreased during the procedure and norepinephrine was started at 5 mcg/min. After cleanout, 2 accordion drains were placed to facilitate with drainage removal. Patient remains drowsy after procedure and has required oxygen via nasal cannula.

Current vital signs are:

Temperature: 37.5 C (99.5 F)

HR: 122

BP: 95/62

RR: 18

SpO2: 98% @ 6LNC

Preliminary results from blood cultures drawn on admission grew Gram Positive Cocci

1 Which of the vital signs and/or labs are concerning to you at this time?

	Heart Rate
	Blood culture
	Blood Pressure
	Respiratory Rate

2 As you report your critical results according to your policy (positive blood cultures), what else would be appropriate to note in your SBAR communication to the provider?

	Heart Rate
	Increasing Oxygen Demands
	Scant Drainage
	Increasing Norepinephrine Demands