Pathophysiology Explain Pathophysiology Explained for Students (Easy Guide)

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Original Question

Pathophysiology Explain the pathophysiology and how this relates to the patient’s clinical presentation (I.e., What is happening in the body to cause the signs and symptoms that the patient has?) CASE STUDY: Joan Blackmore Location ED Introduction It is 0705hrs and you are working a morning shift in the Emergency Department. During handover you hear the Batphone (emergency phone) ring indicating an emergency case is enroute via ambulance…. Situation 84 year old female – Tachypnoeic , hypoxic, hypotensive, tachycardic Increased work of breath/respiratory rate noticed by staff at the Residential Aged Care Facility who called 000 No IV access currently insitu Estimated Time of Arrival (ETA) to ED = 4 minutes. Background- discharged from hospital 5/7 ago post ORIF to R) hip after a mechanical fall PMH: AF, HT, dementia, osteoporosis, dyslipidaemia Drugs: Metoprolol 25mg BD, aspirin 100mg PO Daily, Atorvastatin 40mg nocte. Allergies: unknown Assessment/Observations from ambulance staff/on arrival to ED : A -maintaining own B – spontaneous, RR 36, Sp02 88% RA, increased work of breathing , accessory muscle use C – central capillary refill 4 seconds, HR 140bpm (rapid Atrial Fibrillation), BP 82/56 D – GCS 13/15 (E3V4M6), PEARL 3mm Brisk E – temp 38.9, diaphoretic +++, dressing insitu to R) hip wound with some strikethrough/purulent ooze evident. F – dry oral mucosa, dry pad insitu, fluid intake/output unknown G – Glucose 4.2.mmol/L A full blood count is taken on arrival WCC: 16.8 Hb:85 Hct:24.8 Na: 144 K: 3.3 Platelets: 187 INR: 2.2

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