Nursing care process for an older adult with urinary tract-related septic shock and diabetic ketoacidosis
DOI:
https://doi.org/10.20453/renh.v19i1.7891Keywords:
nursing process, septic shock, diabetic ketoacidosis, older adult, hypernatremiaAbstract
This report presents the nursing care process applied to a 93-year-old male patient hospitalized for septic shock of urinary origin and diabetic ketoacidosis. The elderly patient exhibited severe abnormalities in nutritional-metabolic, excretory, and cognitive-perceptual patterns, as well as a high risk of sepsis and impaired skin integrity. Laboratory findings revealed leukocyturia, severe hypernatremia, hyperglycemia, and severe metabolic acidosis. The nursing diagnosis “fluid volume deficit” was prioritized. Management involved fluid and electrolyte replacement, monitoring of vital signs, and monitoring of urine output, blood glucose levels, and arterial blood gases. During the implementation phase, antibiotic therapy and controlled fluid therapy were administered. During the evaluation phase, blood glucose levels showed a favorable trend; however, hyperthermia persisted due to the complexity of the clinical picture and the patient’s biological fragility, so the prognosis remained guarded.
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Copyright (c) 2026 Diana Cristina Rojas Aira, Roxana Obando Zegarra, Carlos Christian Melgar Morán
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