Case Study Keller Question & Answer Guide (With Explanation)
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What This Question Is About
This question relates to case study keller and requires a structured academic response.
How to Approach This Question
Start by identifying the main issue, then apply relevant academic frameworks.
Key Explanation
This topic involves case study keller. A strong answer should include explanation, application, and examples.
Original Question
Case Study •Ms. Keller is a 29-year-old computational engineer presenting to ED at 0900hrs. She woke up feeling unwell this morning. Had diarrhea x7 episodes, vomiting x2, constantly nauseated, lower abdominal crampy pain. Fevers for last 5 days. Had a laparoscopic procedure for endometriosis 7 days ago. •Had 2 cans of Bourbon yesterday. Denies any dysuria, urinary frequency, cough. Appears unwell. Pleasantly confused, thinks she is 42 years old. •Poor historian ? Due to confusion. •Past Medical History: Type I DM, Previous ICU admissions for DKA, Endometriosis Fully vaccinated against COVID Assessment: Airway. – Patent Breathing. – Spontaneous, RR-19/mt, SPO2-95% RA, air-entry equal Circulation- Appears flushed, tepid peripheries, BP-86/62 mmHg, HR- 46/mt, sinus bradycardia, dry mucous membranes Disability – GCS-14 E4V4M6, not oriented to time, place or person, PEARL- 2mm. Exposure – Temperature 39.8 deg Celsius. Abdomen soft and tender lower abdomen+++ on palpation, bowel sounds present. X2 IVC in situ. Laparoscopic site erythematous. Fluids – Unable to tolerate oral fluids, NBM for now Glucose – BGL-Hi, Ketones- 3 Investigations: •ABG: pH- 7.36, HCO3- 39, BE-(-4.8), Lactate- 3.2 •Urine analysis: Negative for nitrites and leukocytes, urine appears very concentrated, Beta HCG -negative •Bloods- WCC- 17.4, CRP- 15•Additional information: Currently Actrapid +5% dectrose 80mL/hr running with KCL @70mL/hr •Diagnosis: Moderate DKA with a septic foci ? Post-op infection •A MET call was activated at 1230hrs. Aim of assessment The aim of this assessment is to enhance understanding of the significance of recognising a deteriorating patient; reflect on their understanding of pathophysiology in relation to the patient’s clinical manifestations using a holistic patient approach; and reflect on the importance of working together as a team in the group presentation reflective of teamwork in caring for a deteriorating patient. Details to complete this reflection using above case scenario. The reflection should answer ALL the questions below. Based on a critical reflection framework (e.g., Rolfe’s reflective framework, Gibb’s reflection framework), critically reflect and respond to the questions below. Questions: 1) What did we experience with recognising the signs of deterioration in the patient in the case study scenario? State areas of strength you have achieved and improvements you may require. 2) What did we experience with understanding the underlying pathophysiological changes and its link to the patient’s clinical manifestations? State areas of strength you have achieved and improvements you may require. 3) What did we experience with working as part of a team in understanding the patient’s MET call and presentation? State areas of strength achieved and improvements that may require.
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