Case Study on Clinical - Assignment PDF
Added on 2020-12-30
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Table of ContentsINTRODUCTION...........................................................................................................................3Part 1.......................................................................................................................................3Phase 2....................................................................................................................................4Phase 3....................................................................................................................................5Phase 4....................................................................................................................................7CONCLUSION................................................................................................................................7REFERENCES................................................................................................................................82
INTRODUCTIONThis report is based on the patient whose name is John Smith who is 81 years old retiredfarmer which married to Jean. One day, John Smith is found semi-conscious and his wife Jeanhas taken him into the hospital. While having primary observation he has been found that his RR28, SpO2 90% RA, GCS15, HR94 Sinus rhythm, T36.4 tympanic, and have hypertension of122/64 and also have discomfort which totally shows in the left buttock. For that he has given anappropriate treatment for lowering down the drugs in an effective manner (Daver and et. al.,2015).Part 1The brief examination when conducted on John, it has been identified that respiratoryrates was around 28 which is normal considering age of patient. The normal respiratory rate of aperson for 80 year and older ranges between 10-30. the next step is considered to check thesaturation of red blood cells through SpO2 which stood near 90%. which also emerged to normaltaking into account age of an individual. The next step which was taken up by the practitioners isto identify the level of consciousness which is being possessed by patient. The results whichwere identified with the GCS tests is that this patient has been suffering from mild brain injury.The neurological symptoms which were being portrayed by the patients can results in damages inthe neurological systems which were further established through CT scan and MRI. Upon furthertests and examination, it was identified that the patient has been experiencing severe pain on theleft side of the body. There was abrasion on left side of the chest, his back and going until his lefthip joint. The pain in the left part of the body was being rated 8/10 which means it is severe andunbearable for the patient. It was discovered that this patient has been taking medication forhypotension as he was experiencing a lower blood pressure (Buyukasik and et. al., 2013).The primary treatment which was given to patient is FiO2 6L, the reason being the personis encountering with difficulty with breathing. This approach attempts to insert two cannulas innasal of a person so that flow of oxygen could be enhanced and leading to make an individualambulate. There is a use of 20G IVC in R cubital fossa so that central catheter is being placedbetween the arteries so that pulse could be controlled. The pain which has been encountered byan individual is being countered with morphine with nominal dosage. However, it is said thatmorphine dosages ideal for person suffering from heart diseases and severe pain. Considering the3
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