Research Article | Open Access
A CASE REPORT ON HYPERTENSION WITH CHRONIC ALCOHOLIC SEPSIS AND MULTIPLE ORGAN DYSFUNCTION SYNDROME
Monika Gedam , Bhawana Dhanvij , Sangita Pise , Ashish Bhagat , Amruta Kothe
Pages: 2274-2277
Abstract
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.
Keywords
Portal hypertension, Sequential organ, Acute, chronic, Predisposition insult.