Dispatched Year Female Explained for Students (Easy Guide)
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What This Question Is About
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How to Approach This Question
Break the problem into smaller parts and analyze each logically.
Key Explanation
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Original Question
You are dispatched at 1730 to a 75-year-old female Jane who is drowsy and confused in a rest home. You are met at the entrance to the building by an enrolled nurse who states she has just come on shift and found her patient extremely drowsy in her room. The patient did not recognise her and asked who she was and what she was doing. This is abnormal behaviour for this patient. She states that this is not the first time this has happened to her but she cannot recall the cause last time. As you approach the patient you notice she appears drowsy, eyes closed, drooling and sitting slumped over in her bed. You say hello and introduce yourself which causes her to open her eyes and look at you. You ask the patient “what happened?” and she replies starts mumbling about her daughter. When you ask her what day it is, she responds by singing the start of “happy birthday”. You ask her to squeeze your hands and she does so, having good, equal grip strength. When you stop asking questions Jane closes her eyes. It is difficult to understand Jane due to her slurred speech, and she has also begun drooling. You get some vital signs while obtaining a history from the nurse. She recalls this occurred approximately 6 months ago and required transport to hospital. She states the patient was normal during her shift 2 days ago. She recalls the patient wasn’t complaining of any pain and there is no record of her being unwell since she last saw her. She states she does not know much more as she has only started her shift and the day staff have already left for home though notes her chart says she refused to eat today but had her normal medications. It states she had her normal cares performed this morning with no issues, it appears she was her normal self. Her last set of observations were recorded at 1230 hours today. While reading the patients chart, you note that the patient has a history of epilepsy, recurrent UTis, diabetes and high blood pressure. She is given lamotrigine and amlodipine each morning and is administered insulin 30 minutes before meal time. All medications are charted to have been taken as normal, The chart shows the patient has no allergies. The rest home has a doctor visit each patient once a month which was done approximately 2 weeks ago. You take the patient’s vital signs and find the following: . BP: 150/70 . Temp: 35.50 . BGI. 2.5 mmol/l . Pupils: PEARL . Sp02: 94% Chest auscultation Play the following sound file to hear this patient’s chest sound 1X ECG: Lead II (6 second strip) Lead !I Your task is to answer the following questions in the text box below (you should write your answers in a word document and then cut and paste them into the textbox below to avoid losing your work): 1. Given this patient’s presentation, including their symptoms, how they occurred, and their medical history, which disease process do you think the patient is most likely experiencing? In your answer give an explanation for why you think this condition is the most likely, and include reference to their relevant symptoms, medical history, and risk factors. 2. Explain the pathophysiology of the condition you believe this patient is suffering from? In your answer provide a basic summary of the physiological processes that can lead to the symptoms the patient is experiencing. 3. What is this patient’s GCS, HR, RR (Hint you can use the case description to determine the GCS, the ECG to determine the HR and the Chest Auscultation Sounds File to determine the RR) 4. Is this patient considered time critical? 5. Given the disease process you have identified, what kinds of medications or treatments can be given prehospitally, and how does their pharmacology benefit this patient? In your answer make sure you: Give the correct medication name, route of administration, dose and/or volume, any repeat intervals if they apply List the medications contraindications and confirm that the patient is safe to be administered the medication o Choose which medication you will administer and justify this decision (We strongly recommend that you write your answers in a word document and then cut and paste your answers into the textbox below. Writing directly into the textbox may result in the loss of your work) PLEASE NOTE YOU CANNOT CUT AND PASTE FROM THE LEARNER GUIDE OR USE ARTIFICIAL INTELLIGENCE YOU MUST ANSWER THESE QUESTIONS IN YOUR OWN WORDS. ACADEMIC MISCONDUCT CAN LEAD TO EXPLUSION OR OTHER PENALTIES
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