words for all the questions in total. i AM AFTER 2ND QUESTION FIEST PROBLEM WAS SEPSIS

Question words for all the questions in total. i AM AFTER 2ND QUESTION FIEST PROBLEM WAS SEPSISAdam is 17 year old recently admitted to respiratory ward from ICU with diagnosis of hypoxic brain injury. Adam has tracheostomy inserted whilst in ICU to assist clearance of secretions due to poor cough strength and increased secretions, and to faclitate weaning from mechanical ventilation.Background-Adam was admitted to respiratory ward 6 days ago after a 3 week admission in ICU secondary to an acute asthma attack. During his ICU admission, he was diagnosed with non focal seizures caused by hypoxia and is currently controlled with sodium valproate. He has sie 8 portex tracheostomy inserted to facilitate weaning from mechanical ventilation and aid in securing his airway.History-Adam past medical history include brittle asthma and he has number of hospital admission related to his asthma. He also has complications related to asthma treatment which includes steroid induced diabetes mellitus secondary to prolonged and repeated use of coticosteroids.From family-His mother reports that adam does not appear well today and his hands feel cool and he is coughing more. Meryl tells u that she put another blanket over him as he was shivering. She says adam squeezed her hand and know she is here. She indicated that god saved him and her church community is praying for him. Assessment-On assessment, adam is positioned supine in bed, you elevate his head to 45 degrees, his NGT feeds are running at 83ml/hr and needs to be changed next hour. The external length of his NGT is at 40cm at the tip of nose. On auscultation, he has course crackles, tectile fremitus, you suction his tracheostomy and clear some creamy secretions.eye opening 3, verbal response – 1 tracheostomy, motor resonse-4, pupils-4mm, limb power upper and lower-severe weakness, temperature- 12 am: 36.6, 4am: 36.8, 8am: 37.4, 10am: 37.9.Respiratory rate- 19, 18, 22, 29 (times as of temperature).SpO2- 95, 95, 97, 92 via 4l oxygen therapy Swedish nose.Pulse- 87, 92, 86, 106BP- 126/78, 134/82, 154/94 (BP not monitored 4am).BGL- 7.6, 6.4, 8.1, 7.3Test report-wbc- 15.7 x 103/ul, platelets- 323,000/ul, hemoglobin- 129g/l, urea- 7.1 mmol, creatinine- 108umol/l.Mobility- sling hoist, hygiene- sponge, nutrition- NBM (aspiration risk), urine measure(frequency) 2/24 IDC inserted.According to me he is is early stage of sepsis and his main concern is hypoxic brain injury (not sure).I Image transcription textFor this essay you are required to select ONE [1] case scenario related to the clinical deterioration of a patient:Option 1: Elile case Option 2: Adam’s case The assessment tasks requires you to write an academic essay thataddresses the following tasks: 1. From the chosen case study identify and discuss two [2} signs o… Show more… Show more Health Science Science Nursing NSB 236 Share QuestionEmailCopy link Comments (0)