MODS

• MODS frequently occur toward the end of continuum of septic shock
• Nursing care involves supporting pt and monitor organ perfusion unitl primary organ insults are halted
• Description

  • phase of shock progression
  • altered organ function
  • commonly seen in septic shock and result of inadequate tissue perfusion
  • high mortality rate
• Manifestations usually starts in the lungs and heart
• if effective tissue perfusion is resotred before organs become dysfunctional, condition stabilizes
• Medical management

  • control initiating event
  • promote adequate organ perfusion
  • provide nutritional support
• Nursing management

  • monitoring organ perfusion until primary organ insults are resolved
  • providing information and support to family members
  • address end of life
  • if recovers, massive loss of skeletal muscle mass makes rehab a long slow process