To summarize the nursing experience of a child with Prader-Willi syndrome complicated with pulmonary infection and secondary septic shock. In view of the rapid progress of septic shock in children,difficulty to effectively remove respiratory secretions,complicated medication,and being prone to complications,nursing points included：the application of specific indicators to effectively identify the signs of shock and close cooperation for rescue between doctors and nurses; bronchoalveolar lavage combined with lung ultrasound to guide chest physical therapy to remove secretions and promote lung recruitment; accurate medication,close monitoring of drug efficacy and side effects; prevention of pressure injury and acute kidney injury. After 30 days of careful treatment and care,the child was discharged in stable condition and recovered well during outpatient follow-up.
ZHOU Hongqin
,
CHEN Xiuping
,
ZHU Jihua
,
XIA Shanshan
,
LOU Xiaofang
. Nursing care of a child with Prader-Willi syndrome complicated by pulmonary infection and secondary septic shock[J]. Chinese Journal of Emergency and Critical Care Nursing, 2022
, 3(5)
: 446
-448
.
DOI: 10.3761/j.issn.2096-7446.2022.05.012
[1] Proffitt J,Osann K,McManus B,et al. Contributing factors of mortality in Prader-Willi syndrome[J]. Am J Med Genet A,2019,179(2):196-205.
[2] Cassidy SB,Schwartz S,Miller JL,et al.Prader-Willi syndrome[J]. Genet Med,2012,14(1):10-26.
[3] Evans L,Rhodes A,Alhazzani W,et AL. Surviving Sepsis Campaign:International Guidelines for Management of Sepsis and Septic Shock 2021[J]. Crit Care Med,2021,49(11):e1063-e1143.
[4] 张宇,卢笑晖,连新宝. 脓毒症急性肺损伤的发生机制及治疗研究进展[J]. 解放军医学杂志,2021,46(11):1159-1164.
Zhang Y,Lu XH,Lian XB.Mechanism and treatment of acute lung injury caused by sepsis:research progress[J]. Med J Chin PLA,2021,46(11):1159-1164.
[5] 关向飞,刘春峰. 儿童序贯器官衰竭评分对小儿重症监护病房感染患儿的诊断和预后判断价值[J]. 中国小儿急救医学,2021(5):385-388.
Guan XF,Liu CF.Evaluation of pediatric sequential organ failure assessment score in diagnosis and prognosis of children with infection in pediatric intensive care unit[J]. Chin Pediatr Emerg Med,2021(5):385-388.
[6] Gorgis N,Asselin JM,Fontana C,et al.Evaluation of the association of early elevated lactate with outcomes in children with severe sepsis or septic shock[J]. Pediatr Emerg Care,2019, 35(10):661-665.
[7] Matson KL,Horton ER,Capino AC,et al.Medication dosage in overweight and obese children[J]. J Pediatr Pharmacol Ther,2017,22(1):81-83.
[8] Weiss SL,Peters MJ,Alhazzani W,et al.Surviving sepsis campaign international guidelines for the management of septic shock and sepsis-associated organ dysfunction in children[J]. Intensive Care Med,2020,46(Suppl 1):10-67.
