Get Answer: Patient Admitted Your Question Guide

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Original Question

A patient is admitted to your clinical area. The admission notes state they are suspected to have sepsis following pneumonia. Gerald Smith – 67 years Developed shortness of breath and fever one week ago. Diagnosed with left sided pneumonia by GP and commenced on Amoxicillin orally. Today developed worsening shortness of breath, confusion, feeling faint. Admitted by ambulance to ED Vital signs: A – Patent B – RR23bpm, SaO2 91% on room air C – HR 110bpm, B.P. 98/65mmHg, Cap refill 5 secs, has not passed urine since yesterday D – GCS – 13/15 (Eyes 3, Verbal 4, Motor 6), BGL 6.1mmol/l E – Temp 38.5 deg C No known allergies. No past medical history. Aside from amoxicillin no current medications Using the clinical reasoning cycle: Identify with rationale the key problems for this patient in priority order Identify a SMART goal for each one. identify one action for each problem

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