High Priority Clinical Manifestations and MET Call: Group Presentation

This presentation focuses on high-priority clinical manifestations that can escalate to a MET call, using a primary survey format (A-G). The case study of Mrs. Agu, experiencing shortness of breath due to acute pulmonary edema secondary to congestive cardiac failure and chronic renal impairment, is analyzed. Key clinical manifestations include hypoxia and dyspnea, with other MET criteria such as hypotension (blood pressure 98/62) and an elevated heart rate (83 bpm). The presentation explores the pathophysiology linking hypoxia and hypoxemia to the patient's condition, emphasizing the need for supplemental oxygen. The presentation also highlights the relevance of COPD in the context of the case study where V/Q mismatching is present, impacting the patient's respiratory status. References are provided to support the analysis, including studies on hypoxia and related conditions.

Group presentation

High priority clinical manifestations that have resulted in the
escalation to MET call using a primary survey format (A-G).
 The clinical manifestation which is outline as per the case study of Mrs. Agu
who is facing the issue of shortness of breath and after the diagnosis she is
evaluated that they face the issue of acute pulmonary oedema secondary to the
fluid overload on background of the congestive cardiac failure, chronic renal
impairment which show the aspect where the proper medical requirement is used
to taken in order to maintain the issue which is based on the data and
information.
 In the context with the Mrs. Agu, the clinical manifestation which is related with
the case is hypoxia, Dyspnoea, and so on.

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 Therefore, the other MET criteria detected were the blood pressure is 98/62 which
show the condition of hypotension and rate is approx. 83 beat per minute.
 In addition, the clinical manifestation focus on the lack of oxygen supply within
the body and also the hypotensive condition which render the function of body and
care dizziness and so on. As per the condition of Mrs. Agu, the shortness of issue
indicate that she is require additional oxygen from the external source.
 The condition of Mrs. Agu fallen in the criteria of MET where the systolic blood
pressure is less than 90 mmHg, respiratory rate more than 30 breaths per minute
and heart rate more than 130 beat per minute.

Pathophysiological link to the identified high priority clinical
manifestations and the disease conditions that the patient has
 The hypoxia shows their relevance with the high priority clinical
manifestation which is obtain from the report that is well related with the
patient. The amount of the oxygen is less in the tissue of body. The
pathological condition show the link with the issue with Mrs. Agu when
she require external oxygen to full the requirement of oxygen.
 The hypoxemia refers as the situation which generally create the issue
which is associated with the shortness of breath and also in the reduction
in PO2 that is below the normal range, regardless of whether gas
exchange which is impaired in the lungs, CaCO2 is adequate or the tissue
which is well related with the hypoxia.

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 There are several potential physiologic mechanisms which is related with
the issue of hypoxia.
 The COPD is the prominent condition which is analysed with the case
study where the V/Q is mismatching with or without the alveolar
hypoventilation which is well indicated by the PaCO2.
 In this, the clinical manifestation has been analysed that provide the
aspect which is relayed with the shortness of breath.

REFERENCES
 Somers, V.K., Kara, T. and Xie, J., 2020, November. Progressive hypoxia: a pivotal pathophysiologic mechanism of
COVID-19 pneumonia. In Mayo Clinic Proceedings (Vol. 95, No. 11, pp. 2339-2342). Elsevier.
 Blumlein, D. and Griffiths, I., 2022. Shock: aetiology, pathophysiology and management. British Journal of
Nursing, 31(8), pp.422-428.
 Schito, L. and Rey, S., 2018. Cell-autonomous metabolic reprogramming in hypoxia. Trends in cell biology, 28(2),
pp.128-142.
 Szczepanska-Sadowska, E., Cudnoch-Jedrzejewska, A. and Wsol, A., 2020. The role of oxytocin and vasopressin in
the pathophysiology of heart failure in pregnancy and in fetal and neonatal life. American Journal of Physiology-
Heart and Circulatory Physiology, 318(3), pp.H639-H651.