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Elderly Patient Previously Diagnosed

   

Added on  2021-04-16

2 Pages737 Words29 Views
Case studyThe case review showcase an elderly patient previously diagnosed with community acquired immunity. He has been on intravenous hydration, IV anti biotics poperaclin and Tazobactam TDS and finally hydrocortisone. He is a heavy smoker nursing chronic bronchitis and is admitted with pneumococcal pneumonia having severe sepsis.Airway The airway passage for the patient is severely obstructed with manifestation of bronchitis. The patient might be suffering from dyspenia, which affect the trachea; the shortness of breath can be severity in the case. Further dyspenia can be characterised from the patient, with chronic respiratory sepsis on the patient, there is observation of airflow limitation. The limited airway is linked to occurrence of sepsis occurs when the body is overwhelmed and threatened with an infection which damages tissues, lungs and can even cause death. Symptoms associated with sepsis infection include shortness of breath, high rate, shiver, disorientation and sweaty skin cover.Breathing The associated risks factors of smoking, bronchitis infection, old age and pneumonia has elevated the symptoms portrayed by the patient. The observed respiratory rate is higher than normal range of 12-28 bpm for persons aged over 65 years. Further the blood pressure is lower occasioned by the high fever temperature noted from the measurements undertaken. The patient is exhibiting a respiratory rate of 35bpm, with increased expiratory phase and SPO2, 82% on oxygen at 6L using Hudson mask. The higher marker of greater than .25bpm, depicts severe respiratory sepsis. Deep breath Assesment shows that the chest expansion is inversely proportional. The inspired oxygen counteraction and the Spo2 reading indicate hyprcarpia. CirculationThe sinuses assessment for the patient shows that the rates are 125bpm, while the blood pressure is 80/60mmHg. Lower diastolic blood pressure indicates reduced output of the cardiac. The role of nurse is to assess the veins of the patient, measuring and assessments of capillary refill time. Due to the conditions of the patient there is need to perform heart auscultation, the heart rate and blood pressure need to be reassessed regularly after every 5 minutes. DisabilityThe GSG score has been calculated at 15; E4/V5/M6. The pain assessment of the patient indicates that she has severe pain of 9/10 rating the measurement of disability Glasgow score

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