NURSING CARE FOR PATIENTS WITH SEPTIC SHOCK IN THE INTENSIVE CARE UNIT

Abstract

INTRODUCTION: Septic shock is a serious complication of sepsis, characterized by hemodynamic instability, metabolic alterations, and a high risk of mortality. Nursing in Intensive Care Units (ICUs) is essential for the early identification of clinical signs, implementation of immediate interventions, and continuous monitoring, aiming to reduce complications and improve patient prognosis. METHODOLOGY: An integrative literature review was conducted, covering articles published between 2021 and 2025, available in the BVS, SciELO, LILACS, BDenf, and PubMed databases. The descriptors "Intensive Care Units," "Septic Shock," and "Nursing Care" were used. Complete studies in Portuguese and English were included, excluding reviews, dissertations, theses, and duplicate articles. The data were organized into tables containing authors, objectives, and main findings, allowing for a critical and systematic analysis of the evidence. RESULTS AND DISCUSSION: After rigorous selection, seven studies were included, highlighting the importance of intensive monitoring, the use of clinical protocols, safe medication administration, and the prevention of hospital complications. It was observed that, despite the nursing team's adequate theoretical knowledge, gaps in practical application and early identification of sepsis persist, especially in highly complex settings. Nursing care in septic shock should be multidimensional, involving clinical monitoring, ventilatory and circulatory support, early antibiotic therapy, infection prevention, and the use of NCS. CONCLUSION: Continuous training, effective communication, and adherence to protocols are crucial for patient safety, reduced mortality, and improved prognosis. Nursing, by integrating technical knowledge, clinical judgment, and a humanized approach, plays an essential role in preserving life and improving care in critical situations.