The Deteriorating Patient : Case Studies
Added on 2020-07-22
9 Pages3006 Words85 Views
The DeterioratingPatient: CaseStudies
ContentsINTRODUCTION...........................................................................................................................1PART 1............................................................................................................................................1PART 2............................................................................................................................................3Handover to the doctor using ISBAR..........................................................................................3CONCLUSION................................................................................................................................4REFERENCES................................................................................................................................5
INTRODUCTIONThere are different type of health related issues that are faced by people and in order toovercome them, it is important that healthcare providers are able to understand them and takeappropriate steps so that health can be improved (Fahmi and Hayes, 2016). Present report isbased on a case that includes Cardiogenic which is a type of shock. This report coversconsideration made on symptoms and signs in accordance with case. Lastly, it also includesstructured written handover to the doctor using ISBAR. PART 1As per the case, Frank James who is 72 years old who was admitted chronic heart failure.Next morning he complained of shortness of breath chest pain. Then immediate chest x-ray wastaken in which it showed that his heart failure is worsening and this has developed pulmonaryoedema. In order to review the case in effective manner, ABCDE approach is used (Flynn,Prescott and Jinks, 2016). When heart suddenly stops pumping enough oxygen, then it causescardiogenic shock. This type of shock causes damage to heart muscles. In order to follow them,there are certain set of principles that has to be followed like complete assessment andreassessment is important to be done, effects of treatment should be identified, life threateningproblems should be determined before going on to next part, etc. Further, before getting into thesteps involved, it is important that proper safety of the patient need to be ensured (Pozzilli, DavidLeslie and Del Prato, 2010). Proper monitoring should be done so that changes in healthcondition can be listed. Airway obstruction (A): This is a type of condition in which patient face immense pain inbreathing. In such situation, it is important that proper care need to be provided. As per the case,the patient was facing issues in taking up oxygen the next day when he was admitted (Hsu, Tonand Blaha, 2013). In this context, it is essential that oxygen to be given at high concentration bymaking use of oxygen reservoir and mask. In addition to this, it should be treated as a medicalemergency. Proper help from experts should be taken immediately. When condition of airwayobstruction is not treated, then it can cause hypoxaemia (Logarajah and Alinier, 2014). Lastly,signs of airway obstruction should be identified as it causes abdominal movement andparadoxical chest. In addition to this, central cyanosis is considered to be the last stage of airway1
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