基于急性胃肠损伤分级的一例脓毒症休克患者的营养护理

Nutritional nursing of a sepsis shock patient based on acute gastrointestinal injury grading

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DOI 10.12208/j.jmnm.20240528
刊名
Journal of Modern Nursing MedicineJPCNS
年,卷(期) 2024, 3(11)
作者
作者单位

中山大学附属第一医院 广东广州

摘要
总结1例一例脓毒症休克患者的营养护理经验。此次研究选取了一例脓毒症休克患者患者作为研究对象,通过对该病例资料进行全面的总结与分析,明确了护理实践的要点,进而制定出针对性的护理措施,显著改善患者病情状态。护理实践要点:根据脓毒症休克的疾病发展规律,基于脓毒症休克引发的胃肠道功能损伤生理改变,制定分级营养护理管理;首先完善患者营养风险筛查、体格检查、实验室检查;临床实践形成基于AGI分级肠道康复措施,在此基础上制定序贯营养治疗方案,实行低热卡过渡等热卡能量喂养的营养支持策略。经上述护理措施30天后,患者循环呼吸平稳,感染受控,体重无减轻,通过肠内营养满足热卡需要,家属因患者意识恢复缓慢同意转院治疗。
Abstract
Summarize the nutritional nursing experience of one patient with septic shock. This study selected a patient with septic shock as the research object. Through comprehensive summary and analysis of the case data, the key points of nursing practice were clarified, and targeted nursing measures were formulated to significantly improve the patients condition. Key points of nursing practice: Based on the disease development law of septic shock and the physiological changes of gastrointestinal functional damage caused by septic shock, formulate graded nutritional nursing management; Firstly, improve patient nutritional risk screening, physical examination, and laboratory testing; Based on AGI grading intestinal rehabilitation measures in clinical practice, a sequential nutritional treatment plan is developed, and a nutritional support strategy of low calorie transition and other calorie energy feeding is implemented. After 30 days of the above nursing measures, the patients circulation and breathing were stable, the infection was under control, and there was no weight loss. The patients calorie needs were met through enteral nutrition. The family agreed to transfer the patient for treatment due to slow recovery of consciousne.
关键词
急性胃肠损伤;脓毒症休克;营养支持
KeyWord
acute gastrointestinal injury; septic shock; Nutritional support
基金项目
页码 4-7
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邬宝国*. 基于急性胃肠损伤分级的一例脓毒症休克患者的营养护理 [J]. 现代护理医学杂志. 2024; 3; (11). 4 - 7.

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