A 48-year old-man, of Chinese origin, who had travelled to France…
Question Answered step-by-step A 48-year old-man, of Chinese origin, who had travelled to France… A 48-year old-man, of Chinese origin, who had travelled to France from China around mid-January, 2020 was admitted to the Emergency room. He was then transferred to the ICU due to chest tightness, difficulty breathing, hypoxemia, sore throat, fever and severe dry cough. Initial orders include a STAT Chest X-ray, arterial blood gases and oxygen at 4L/min via Venturi mask. A respiratory viral panel and COVID-19 nasopharyngeal swab was ordered. Blood, urine and stool samples for viral loading were also ordered for 3 consecutive days. All samples were refrigerated and shipped to laboratories in the National Reference Center for Respiratory in Lyon, France, where RNA extraction, real-time RT-PCR, and virus isolation and titration procedures were done.The chest X-ray revealed hazy opacity in the lobes and the physician makes an initial diagnosis of pneumonia in both lower lobes. ABG show: PaO2 68mmHg, PaCO2 32mmHg and pH 7.53After 24hours, he tested positive for COVID-19 and his illness was classified as severe.Treatment with antiviral and corticosteroid therapies were started but did not fully resolve his symptoms. On the second day in the hospital, a chest CT scan showed that the patient had ground glass opacities in his lungs, which are characteristic of pneumonia. His levels of interleukin-6 (IL-6), a pro- inflammatory cytokine, were high. His symptoms are rapidly evolving to multi-organ failure with persistent high viral load in lower and upper respiratory tract with systemic virus dissemination and virus detection in plasma. Image transcription textParagraph Styles 6. Explain the possible pathophysiology of COVID-19 based on the symptoms manifested bythe patient. Please use the format for the pathophysiolog ETIOLOGY SIGNS & SYMPTOMSMANAGEMENT DISEASE specific to the S/S DIAGNOSTIC PROCESS EVALUATION/TOOLS # N… Show more… Show more Health Science Science Nursing NURSING MISC Share QuestionEmailCopy link Comments (0)
