The case and presenting issues Assessment 2022

Running head: CASE STUDY
Case Study: Patient A
Student Name
Institution

CASE STUDY 2
401021 Being a Professional Nurse or Midwife – Assessment 2
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Criteria 1. Case Summary: Summarises the case and presenting professional practice issues.
Patient A was presented to a General Practitioner, and on 8th January 2013 was
admitted to the hospital on account of apnoea, slight high blood pressure and crackles
detected from the bottom of both her lungs.
Her pre-admission prescription was oral Lasix, which failed to remedy her diagnostics
and due to such consequences was scheduled for a blood tests and a chest x-ray, and later a
ventilation/perfusion (V/Q) scan, all which resulted in inter-determinate results.
More symptoms started to show, including persistent severe abdominal pain,
diarrhoea and elevated respiratory rates, rising from 28/minute to 44/minute. Other treatment
attempted include introduction of a large bore intravenous cannula-tube to deliver fluids.
During her stay, the patient complained to be feeling dizzy, had no energy and
reported her back pain was critical. She had an unsteady heartbeat of 120/min pulse rate. The
patient’s also refused to consume any meals or liquids, the reason she was looking to be very
weak.
Upon examination by the Visiting Medical Officer’s, the patient was diagnosed with
depressed and anxiety was set to be discharged from the hospital after treatment for the same.
The patient was then given Digoxin and Valium medicine. Her vital signs were normal
despite increased heart pulse rate of 122/min, and elevated blood sugar levels of
16.1mmmol/l.

CASE STUDY 3
At the time of her death, her pulse rate had seceded. Last minute attempts to treat her
loss of body fluid from severe diarrhoea had been tried to no avail. Patient A suffered blood
poisoning sepsis
Various professional errors were made since the patient visited the general
practitioners clinic. The first day patient A visited and received a medical examination, she
was commenced on oral Lasix treatment. The administering doctor should have periodically
checked the patient’s progress and reaction to the drug since the drug takes a considerable
amount of time to be fully taken into the blood.
On 7th January, patient A had already been admitted to the hospital for over a day, and
only the VMO reviewed her clinical presentations after spending a day hospitalised. On 11th
January, RN John said that at her handover, patient A’s doctor was gone
On the 9th of January, the VMO tests and diagnosis were inconclusive but in spite of
his doctor judgment, the VMO, Dr Haron noted that the patient was the problem, that she
refused to eat or drink any liquids and that she has been complaining of feeling weak. Instead
the doctor should have carried out more conclusive tests to a certain her ailment (Cherry &
Jacob, 2018, p. 19). He later dismissed her case as mere depression and anxiety even though
her heart rate had remained high.
The staff in the hospital continually ignored patient’s A medical condition and history
(Daly, Speedy, & Jackson, 2017, p. 65). The patient received Valium and Digoxin for the
wrong diagnosis. They failed to administer the proper medication and even mark-out patent A
for hospital discharge on 11 January, as soon as her condition worsened. At 2020 hours, John
the Registered Nurse telephoned the Clinical Nurse Manager to organise drugs for a patient,
other than patient A.
Criteria 2 Contributory factors Identify relevant professional errors that potentially
contributed to the incident happening