Sepsis Case Study Analysis of 76-Year Old Patient with Chronic Atrial Fibrillation, HBP and Osteoarthritis

Document Content and Description Below

Scenario P.S., a 76-year-old woman, was brought to the emergency department (ED) by ambulance after her husband found her sitting on the side of the bed, awake but nonverbal. She has a history of chr... onic atrial fibrillation, osteoarthritis, and hypertension. Her current medications include diltiazem, carvedilol, and dabigatran. Upon arrival to the ED, she was sent for a STAT CT scan, then evaluated by the Stroke Team nurse. Her initial vital signs include BP 110/60, P 158, R 20, T 100.8° F (38.2° C). She weighs 198 pounds (90 kg). 1. Name at least two risk factors P.S. has that led to the evaluation for a stroke. 2. What other things will you ask about when completing the history? . CASE STUDY PROGRESS The CT scan results were normal, and the NIHSS Stroke score was rated as zero. The ED physician orders lab work, which has been drawn. P.S. asks to use the bedpan, and her urine was noted to be dark orange, cloudy, with a strong odor. You perform a point of care urinalysis and, suspecting a urinary tract infection (UTI), sends a specimen for culture and sensitivity. A second set of vital signs are recorded: BP 98/58, P 164, R 18, T 101.6° F (38.7° C). Chart View Laboratory Test Values Sodium 150 mEq/L (150 mmol/L) Potassiu m 4.8 mEq/L (4.8 mmol/L) Chloride 100 mEq/L (100 mmol/L) CO2 25 mEq/L (25 mmol/L) Glucose 104 mg/dL (5.8 mmol/L) BUN 10 mg/dL (3.6 mmol/L) Creatini ne 1.2 mg/dL (106 mcmol/L) [Show More]

Last updated: 10 months ago

Preview 1 out of 4 pages