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A case report of a patient with intellectual disability and neurogenic bladder complicated with sepsis
To summarize the individual care experience of a patient with neurogenic cystitis with sepsis and mental retardation. The main points of nursing care include: conducting personalized nuring care for early sepsis; carring out care for urinary incontinence and urinary tract infection; bulinding health-management plans with family members; and a full course of psychologic diversion that alleviates negative feelings among patients and family members.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| noting | Other | Non intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Lactic acid | "In some pathological conditions, such as respiratory failure or circulatory failure, tissue hypoxia may be induced, and due to this hypoxia, lactic acid in the body may be elevated." Elevated lactic acid in the body can cause lactic acidosis. Checking the blood lactate level may indicate the severity of the underlying disease.The normal range is 0.05mmol/L-1.7mmol/L. | During the first 6 days of ICU stay |
| Sequential Organ Failure Assessment | This scale can describe the dysfunction or failure of individual organs in a continuous form, and can evaluate the degree of mild dysfunction to severe failure. It can be used to measure the occurrence and development of single or whole organ dysfunction repeatedly in clinical research, so as to determine the characteristics describing organ dysfunction or failure, which has a closer relationship with sepsis. | During the first 3 days of ICU stay |
| Indicators of infection | Hemameba level | During the first 6 days of ICU stay |
| C-reaction protein | Indicators of infection | During the first 6 days of ICU stay |
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Inclusion Criteria:
Dysgnosia Neurogenic bladder Pyohemia
Exclusion Criteria:
Intellectually normal person No urinary infection
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A patient with neurogenic cystitis with sepsis and mental retardation.
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| Name | Affiliation | Role |
|---|---|---|
| huiying Fuhuiying | colleague | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| One Case of Individualized Nursing Plan for Sepsis | Guangzhou | Guangdong | 510220 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 19852064 | Result | Yang PY, Meng NH, Chou EC. Voiding dysfunctions in children with mental retardation. Neurourol Urodyn. 2010 Sep;29(7):1272-5. doi: 10.1002/nau.20824. | |
| 22409717 | Result | Wehrberger C, Madersbacher S, Jungwirth S, Fischer P, Tragl KH. Lower urinary tract symptoms and urinary incontinence in a geriatric cohort - a population-based analysis. BJU Int. 2012 Nov;110(10):1516-21. doi: 10.1111/j.1464-410X.2012.11022.x. Epub 2012 Mar 12. |
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| 31867616 | Result | Dinh A, Hallouin-Bernard MC, Davido B, Lemaignen A, Bouchand F, Duran C, Even A, Denys P, Perrouin-Verbe B, Sotto A, Lavigne JP, Bruyere F, Grall N, Tavernier E, Bernard L. Weekly Sequential Antibioprophylaxis for Recurrent Urinary Tract Infections Among Patients With Neurogenic Bladder: A Randomized Controlled Trial. Clin Infect Dis. 2020 Dec 15;71(12):3128-3135. doi: 10.1093/cid/ciz1207. |
| 34586694 | Result | von Gontard A, Hussong J, Yang SS, Chase J, Franco I, Wright A. Neurodevelopmental disorders and incontinence in children and adolescents: Attention-deficit/hyperactivity disorder, autism spectrum disorder, and intellectual disability-A consensus document of the International Children's Continence Society. Neurourol Urodyn. 2022 Jan;41(1):102-114. doi: 10.1002/nau.24798. Epub 2021 Sep 29. |