Case Study Analysis: Nursing Procedures, ABG, ECG, Sepsis Management

This case study provides a reflective analysis of a nursing scenario, focusing on arterial blood gas (ABG) interpretation, ECG analysis, and sepsis management. The student demonstrates an understanding of ABG tests, their role in assessing oxygen and carbon dioxide levels, and the signifi...Read More

NURSING CASE STUDY
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TABLE OF CONTENTS
REFLECTIVE......................................................................................................................................3
REFERENCES.....................................................................................................................................5
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REFLECTIVE
After considering the discussion section I can say that I have learned a lot of things about
Arterial blood gas which changes the amount of oxygen and carbon dioxide that is dissolved in
arterial blood (Howard and et.al., 2016). Therefore, I came to know that an ABG test is useful in
involving puncturing an artery with a thin needle along with the use of injection which draws a
small volume of blood. Therefore, in this respect the ABG test is one of the most appropriate and
useful tests that is performed for patients who have serious medical concerns (Kee and et.al.,
2016). According to the case, pH level of the woman is 7.2 and potassium level is 3.9;
henceforth it is crucial to determine the pH of the blood so that the partial pressure of carbon
dioxide and oxygen level can be analysed suitably. Further, in this respect I also came to analyse
that many blood gas analysers will showcase the concentration of lactate and haemoglobin. Thus,
working on this case has helped me to ascertain the important things which play crucial role in
blood gas level (Musk and Kemp, 2016).
After carrying out the ECG level, I can say that the patient had a seizure after
hypornatremia and that happened due to excessive loss of fluid from the body; however at the
same time the patient was dehydrated too (Ramachandran, Gera, Gera, Kataria and Roy, 2016). I
considered this as an emergency case since the normal sodium level reached between 135 mmol
which caused cerebral oedema. I also came to realize that the patient had faced such issues
because of inadequate body weight and serum sodium concentration was also 118 mmol/1. ECG
interpretation is essential in such cases so that internal condition of the patient can be analysed.
Similarly, this is also useful for the purpose of adopting effective health provision that can
manage the health facets of the woman. ECG was required at this stage because the practice of
clinical management can only be conducted through analysing the exact situation of the patient
(Ranson and Pierre, 2016).
Clinical management is a type of health care service management that offers better
services to the patients apart from the technical, economic and patient’s satisfaction components.
Sepsis management is conducted in the case when the patient is getting any sort of treatment for
severe sepsis. Basically, antibiotics are being given to the patients after diagnosing the risk of
serious complications of death (Ullman, Keogh, Coyer, Long, New and Rickard, 2016).
Therefore, related it to the case study it can be said that I have grabbed knowledge on various
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things regarding of the health aspects. In the same manner, I can know also manage emergency
cases which requires stern medical concern.
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REFERENCES
Howard, M. E. and et.al., 2016. A randomised controlled trial of CPAP versus non-invasive
ventilation for initial treatment of obesity hypoventilation syndrome. Thorax,
pp.thoraxjnl-2016.
Kee, K. and et.al., 2016. Reply: Can Dead Space Ventilation Really Be Measured without
PaCO2?. Australian journal of respiratory and critical care medicine. 194(12). pp.1556-
1557.
Musk, G. C. and Kemp, M. W., 2016. Maternal and fetal arterial blood gas data during general
anaesthesia for caesarean delivery of preterm twin lambs. Laboratory animals. 50(3).
pp.198-203.
Ramachandran, S., Gera, A., Gera, R., Kataria, S. and Roy, M. P., 2016. Accuracy of pulse
oximetry versus arterial blood gas in screening cyanotic heart. International Journal of
Contemporary Pediatrics. 3(3). pp.983-987.
Ranson, M. and Pierre, D., 2016. Arterial Blood Gas Interpretation–A case study approach.
M&K Update Ltd.
Ullman, A. J., Keogh, S., Coyer, F., Long, D. A., New, K. and Rickard, C. M., 2016. ‘True
Blood’The Critical Care Story: An audit of blood sampling practice across three adult,
paediatric and neonatal intensive care settings. Australian Critical Care. 29(2). pp.90-95.
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