References
Multiple organ dysfunction syndrome: an extended patient care report
Abstract
This report describes and reflects on the intensive nursing care provided to a patient with multiple organ dysfunction syndrome (MODS) and systemic inflammatory response syndrome (SIRS). Veterinary nurses are at the forefront of supportive care for these critical patients and nursing interventions should focus on close and frequent monitoring for early detection of sepsis. An understanding of the physiological processes that occur with these diseases can increase awareness of the potential life-threatening complications associated with MODS, thus, allowing early recognition and intervention to maximise successful patient outcomes.
A 1-year-old English Springer Spaniel was referred to the hospital, from the referring veterinary practice, with a history of sudden collapse and diarrhoea after a walk. On presentation, the patient was collapsed and poorly responsive. A brief history was obtained which showed no previous relevant medical history and the patient was up to date with vaccinations.
On presentation, the patient was triaged to gauge his respiratory, cardiovascular and neurological status. The vital parameters were as follows:
The patient was supplemented with oxygen therapy via a face mask while a 20-gauge intravenous catheter was placed in the right cephalic vein. Bolus intravenous fluid therapy (IVFT) was initiated, using Hartmanns, an isotonic crystalloid. To further evaluate the patient's clinical status, a blood sample was obtained from the jugular vein for an emergency database. A comprehensive blood profile was obtained including electrolytes, haematology, biochemistry and venous blood gas, results are shown in Table 1.
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