Diagnósticos de enfermagem em casos de COVID-19 com evolução clínica para sepse

Objective: to elaborate Nursing Diagnoses (DE), through the identification of signs and symptoms described in the literature of patients with COVID-19 with clinical evolution for sepsis or septic shock. Method: This is a narrative review of the literature where the search took place in the databases: Medical Literature Analysis and Retrieval System Online (MEDLINE) (via PubMed), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane and EMBASE, in the months of April and May 2020. The advanced search strategy was used to perform the crossing between MeSH using the Boolean operator AND: Coronavirus Infections AND Sepsis, obtaining a final sample of 8 case reports. Results: Through studies, 16 NANDA-I nursing diagnoses were listed according to the clinical picture presented by the patients, of these, six were more prevalent, being entitled to impaired spontaneous ventilation, ineffective breathing pattern, risk of electrolyte imbalance , ineffective thermoregulation, deficient fluid volume and acute pain. Conclusion: The identification of these ND offers subsidies for the elaboration of care directed to meet the needs of patients, in addition, it values the profession as a science and guides nursing professionals towards organized and quality care.