Critical Analysis of Patient Case Study
Added on 2020-10-22
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HEALTH VIRATION (NURSING)
TABLE OF CONTENTSAnalyse the pathogenesis in relation to the clinical manifestations of case study ......................1Nursing strategy and explain the underpinning evidence base for this rational ........................2Critically analyse the Arterial blood gas results and relate them to the underlying pathogenesis......................................................................................................................................................3REFERENCES................................................................................................................................4
Analyse the pathogenesis in relation to the clinical manifestations of case study Overview of the case study: This case study is based on a 75 year old man named as Kirkmanwho was admitted to the Emergency Department (ED). He was a widow and was admitted duethe diagnosis of Urinary Infection Tract (UTI). He was suffering from lower abdominal pain andburning sensation while urinating in the right flank. The right flank includes urinary bladder,right kidney, pancreas, gall bladder, colon and appendix and has direct impact on the patient'smedical recovery. After spending 24 hours, his conditions fell apart and led to deterioratinglevels by inserting an indwelling catheter. Moreover, this patient looked pale and unwell with135 heart rate, 80/42 blood pressure, temperature of 39 and respiratory rate at 35. This clearlyshowed his unstable medical conditions that led to admission in the hospital ward undersupervision.Clinical Manifestation: This component is an indicative on the overall progression of a diseasewith clear signs or symptoms (Finucane, 2017). With respect to the case, this manifestation shedlight on the patient, Kiekman's medical history which indicated towards the affected areas ofurethra due to burning sensation with urination and pain during discharge in the lower abdomenpart. It has also illustrated the heavy smoking habits since its teenage days and included about 2packs a day. Along with, he was a social drinker and diagnosed with chronic bronchitis. Therein,he was provided with Ventolin and Atrovent medications to open up the lungs airways fortreating breathing issues. There was no cardiac history, which might not be an assurance of nothaving any issues related in the near future; although he was affected with the Urinary TractInfection earlier as well. In addition to this, this patient was given dose made up of equal amountof IV NaCl and IV Sulfamethoxazole-trimethoprim, that is 10 mg on daily basis to minimise thediagnostics of severe sepsis with UTI. This sepsis was refereed as severe due to prevalence ofhypotension. There is also a slight probability of organ dysfunctionality in the right kidney.Pathogenesis: This part mainly deals with the primary survey conducted at ED to gain betterunderstanding of its symptoms and overall pathogenesis. It focused on patient's accessory muscleuse which was influenced heavily with high sinus rhythm of 135 bpm and low blood pressure of80/42 mmHg. He had SpO2 at 82 % which elucidated additional supply of oxygen to attain thesaturation levels at normal pace and a clear indication of anxiety and stress. There was estimationof 35 breaths per minute (bpm) showed that its abnormal breathing and resulted into thehypoventilation. These clinical manifestations are directly relating to the patient's continuous1
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