An assessment finding indicating to the nurse that a patient in septic shock is progressing to:____.

An assessment finding indicating to the nurse that a patient in septic shock is progressing to MODS includes fixed urine specific gravity at 1.010.

A constant urine specific gravity indicates that acute tubular necrosis prevents the kidney from concentrating urine. The patient's respiratory rate would initially accelerate with MODS. Although the MAP of 55 indicates ongoing shock, MODS may not necessarily progress. An 8-hour urine production of 360 ml suggests sufficient renal perfusion.

What is MODS?

A clinical situation that was made possible by the invention of the intensive care unit (ICU) is the most frequent cause of death for patients admitted to a modern ICU. The acute respiratory distress syndrome (ARDS), disseminated intravascular coagulation (DIC), multiple organ dysfunction syndrome (MODS), multi-organ failure, and multiple systems organ failure are some of its more well-known forms. MODS is as common as it is poorly understood.

The Multiple Organ Dysfunction Syndrome (MODS) is the emergence of a possibly reversible physiologic derangement affecting two or more organ systems that were unrelated to the condition that led to ICU admission, and that occurs after a physiologic insult that may be life-threatening.

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