Actions of nurses in early identification of systemic changes caused by severe sepsis
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Abstract
Introduction: Intensive care units (ICUs) have been organized as strategic sectors for specialized support assistance to critically ill patients. Objective: To assess the actions of the nurse for the early identification of systemic changes caused by severe sepsis, related to hemodynamic, neurological, respiratory, renal and nutrition changes of patients in adult ICUs. Methods: Descriptive studies with 24 nurses. Data were collected using a questionnaire composed of structured questions. Results: Only 36% of nurses have expertise in adult ICUs, professionals partially identify the signs and symptoms presented by the septic patient. Conclusion: Nurses find difficulty in the early identification of systemic changes caused by severe sepsis, related to hemodynamic, neurological, respiratory, renal and nutritional changes seen in patients in adult ICUs, which may be related to lack of training and of protocols established by the institutions.
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