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标题：A CASE REPORT ON HYPERTENSION WITH CHRONIC ALCOHOLIC SEPSIS AND MULTIPLE ORGAN DYSFUNCTION SYNDROME
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作者：Monika Gedam ; Bhawana Dhanvij ; Sangita Pise 等
期刊名称：International Journal of Early Childhood Special Education
电子版ISSN：1308-5581
出版年度：2022
卷号：14
期号：4
页码：2274-2277
DOI：10.9756/INTJECSE/V14I4.301
语种：English
出版社：International Journal of Early Childhood Special Education
摘要：Introduction:Chronic alcoholism causes a cardiac contractile dysfunction,may occur after 6 month to 1 yr of alcohol consumption. Sepsis, on a more acute basis, can also induce intrinsic cardiac dysfunction. chronic alcohol consumption caused no overt cardiac dysfunction by itself but did exacerbate the myocardial injury induced by sepsis.Cardiac dysfunction is common in patients with severe sepsis and septic shock. Alcohol is one of the world's most extensively used medications, and it creates problems in a variety of organs. However, there is little research on the consequences of persistent alcohol usage on acute lung injury and nonpulmonary organ failure. This research aimed to see how chronic alcohol misuse influenced the incidence and severity of septic shock patients' Multiple organ failure and acute respiratory distress syndrome in medical intensive care units. Current treatment for sepsisinduced cardiac dysfunction is based on appropriate treatment for the infectious focus (antibiotics and source control) and hemodynamic support (fluids, vasopressors, and inotropes). Patient information: A patient is a 60year old male, having chief complaints right lower limb pain for one month which was associated with lower body part weakness which was sudden in onset, fever for 2days, altered sensorium since one day, seizures, breathlessness, abdominal pain etc. His weight is 65kg. He is admitted to the hospital on the date 02-02-2022. Clinical findings: The patient appeared to be awake and oriented with individuals on general inspection. There are no high-risk variables. He was pale, anxious, and dysphonic throughout the examination. Patients with clinical symptoms that are very similar to those of our case have lately been described. Medical management:inj.meropenem IV 500 mg ,inj. levoflox IV 500 ,NJ.pan IV 40 mg,inj.emset IV 4mg this drug suppresses immunity system. Nursing Management: Fluid replacement was administered (DNS and RL), maintained intake and the result charts and monitored all vital signs hourly. Conclusion: Development of antibodies against Hypertension with chronic alcoholic sepsis with septic shock with multiple organ dysfunction syndromes after providing medication patient health was improved.
关键词：Portal hypertension;Sequential organ;Acute;chronic;Predisposition insult