who was 81 years old was admitted to a GP clinic with fine creps

Running head: NURSING
Nursing
Name of the Student
Name of the University
Author note

1NURSING
Criteria 1
Patient A, who was 81 years old was admitted to a GP clinic with fine creps at
the base of both lungs and slightly elevated jugular venous pressure. The patient had no
renal issues. For this, she had been given Oral Lasix which resulted in deterioration of
the patient’s condition. Due to the oral Lasix given to her, after chest x-ray and blood
tests, it was detected that she was suffering from diarrhoea and tenderness in the right
abdomen. A Ventilation/Perfusion (V/Q) lung scan was conducted that found to be
“interdeterminate”. The patient refused to take food and liquid at this time and reported
to be feeling weak. The next day, The VMO concluded her to be suffering from
depression and anxiety. The doctor planned to discharge him however deterioration in
the heath of the patient was noticed. The respiratory rate of the patient started
decreasing and she eventually refused to intake any food items. Her Blood Sugar level
and heart rate were high. All the symptoms indicated that the patient was suffering from
dehydration. Along with this her abdominal pain got alleviated and her white cell count
had risen to 17.5. However, she had no fever. A urinary tract infection was diagnosed
subsequently as well as intravenous antibiotics were commenced at approximately 1430
hours.
The Registered Nurse who commenced patient A that afternoon reported that the
hospital was not equipped properly to provide her with appropriate medication. Along
with this, he stated that the doctor, when needed, was unavailable and could not be
conducted. A good number of hours following the condition were used for further
diagnosis of the patients condition. She was detected with continual diarrheraia.
However, the respondent did not arrange medication for her in spite of the fact that her

2NURSING
condition kept on deteriorating. While patient A got critically unwell, she was given
saline and attempts to make her transfer to a rural hospital was done. However, no
medicine for her UTI was given. Finally, the patient died from septicaemia.
Criteria 2
The relevant professional errors that have potentially contributed to the happening
of the incident are as follows:
1. The patient was provided with the Oral Lasix while she was suffering from creps
at the base of both the lungs and slightly elevated jugular venous pressure. The
mentioned medication is provided to the patients in order to reduce the extra
fluid in the body that is caused by conditions like liver disease, heart failure as
well as kidney diseases like renal impairment. Since the patient did not have any
of the above, provision of Furosemide has resulted in dehydration. This can be
considered as a major medical error. As per the Nursing and Midwifery Board of
Australia (NMBA) Standard 1, it is highly crucial for Registered Nurses (RN) to
access, analyse as well as use the best available evidence in order to provide the
health care service users with the best medication available (Nagle & Vogt,
2018). However, this standard was not abided by the healthcare professionals
while treating patient A.
2. No documentation of history was conducted by the healthcare professionals
which is highly required in order to assess the current stage of the patient.
3. The second professional issue conducted by the VMO of the local hospital was a
lack of attention to the physical diseases. Considering the fact that the patient
was detected with diarrhoea it was highly crucial for the healthcare professionals