Aim of Assessment
The purpose of the assessment is to enable students to demonstrate knowledge by accurately analysing information in a case study of complex critical care patient.
Read the case study attached and answer the following questions-
1. Analyse the pathogenesis in relation to the clinical manifestations in the case study
2. Select ONE (1) appropriate nursing strategy, and explain the underpinning evidence base for this rational
(NON-PHARMACOLOGICAL NURSING STRATEGIES Eg: fluid resuscitation, OXYGEN THERAPY, WITH RATIONALE WHY ARE YOU USING IT AND HOW DOES IT HELPS?
3. Critically analyse the Arterial blood gas results, and relate them to the underlying pathogenesis
DISCUSS ALL THE FACTORS OF ARTERIAL BLOOD GAS IN DETAIL. Eg: why is the pH is low?
Case Study Details:
Mr Kirkman a 75-year-old male, presented to ED complaining of burning sensation upon urination and lower abdominal pain radiating into the right flank. Mr Kirkman was admitted to the ward with a diagnosis of Urinary tract infection. He was placed on IV NaCl and IV Sulfamethoxazole-trimethoprim 10 mg/kg/day IV in 2 equally divided doses daily and an Indwelling catheter was inserted.
Twenty-four hours later, his condition deteriorates HR135, BP 80/42, RR 35, TEMP 39 and looks generally unwell.
History from ED notes
• Wife died 12 months ago
• Social drinker
• Heavy smoker 2 packs a day since commencing as a teenager.
• Chronic bronchitis on Ventolin and Atrovent.
• Previous UTI
• No cardiac history
Diagnosis 24 hours later
• UTI with severe sepsis
Question
Explain the pathogenesis of the below mentioned A-G clinical manifestations and relate it to the case study
OR
Analyse the pathogenesis in relation to the clinical manifestations in the case study.
Diagnostic
3 Critically analyse the Arterial blood gas results, and relate them to the underlying pathogenesis.
Urinalysis
Positive – nitrite, leukocytes & blood.
Arterial blood gases (ABGs) DISCUSS ALL THE FACTORS OF ARTERIAL BLOOD GAS IN DETAIL. Eg: why is the pH is low ? AND RELATE TO THE UNDERLYING PATHOGENESIS
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