Mr. Reddy is a 62 yo presenting to ED at 1500hrs. He was preparing…
Question Answered step-by-step Mr. Reddy is a 62 yo presenting to ED at 1500hrs. He was preparing… •Mr. Reddy is a 62 yo presenting to ED at 1500hrs. He was preparing the gas cylinder for a Sunday BBQ when it suddenly exploded while he was trying to connect the hose. Family standing by tried to extinguish the fire with their hands and tried to remove his clothing.•Burns 30% TBSA – Face, hands, bilateral lower limbs.•Complaints of severe pain and burning 10/10.•Past Medical History: Hypertension, Type II DM•Regular medications – Candesartan 8mg, Glimepiride 4mg, Metformin 500mg and Pravastatin 20mg. Fully vaccinated against COVID. Airway. – Patent, superficial burns to right side of faceBreathing. – Spontaneous, RR-22mt, SPO2-92% RA, air-entry equalCirculation- Lower limb odema, cap refill 3 seconds, bilateral dorsalis pedis pulses weak. BP- 88/50 mmHg, HR- 127/mt, sinus tachycardia,Disability – GCS-15 E4V5M6, PEARL- 3mm,Exposure – Temperature 35.9 deg Celsius. Full thickness burns to right lower limb and right arm, partial thickness burns to left lower limb, bilateral hands. Superficial burns to face.Fluids – IVF saline in-situ 80ml/hr. Tolerating sips of water. OliguricGlucose – 12mmol/L•ABG: pH- 7.35, HCO3- 39, BE-4.8, Lactate- 3.2•Urine analysis: Negative for nitrites and leukocytes, urine appears very concentrated•Bloods- WCC- 22.4, CRP- 164, GFR 15, CK 226•Diagnosis: Septic shock secondary to burns.•A MET call was activated at 1600hrs. Q1. Explain in an oral presentation the high priority clinical manifestations that have resulted in the escalation to MET call using a primary survey format (A-G). Q2. Describe the pathophysiological link to the identified high priority clinical manifestations and the disease conditions that the patient has. Q3. Discuss the pathophysiological link between the multiple disease conditions that the deteriorating patient has and the clinical presentation. Q4. Discuss TWO diagnostic results and relate it to the underlying pathophysiology. Q5. Explain THREE high priority interventions you will do to improve the patient’s clinical condition. Q6. Discuss the pharmacological actions of TWO drugs that could be used in the management of this patient’s acute deterioration. Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
