- Analyse the parthenogenesis in relation to the clinical manifestations in the case study (15 marks).
- Select ONE (1) appropriate nursing strategy, and explain the underpinning evidence base for this rational (5 marks)
- Critically analyse the Arterial blood gas results, and relate them to the underlying pathogenesis (10 marks)
- Academic Writing (5 marks). Resources i. Examples may be available on the vUWS site. ii. There are a number of textbooks and resources available through the Western Sydney University Library that may assist you. Please refer to the unit's vUWS site for specific unit resources
Case Study Details: Mr Kirkman a 75-year-old male, presented to ED complaining of burning sensation upon urination and lower abdominal pain radiating into the right flank. Mr Kirkman was admitted to the ward with a diagnosis of Urinary tract infection. He was placed on IV NaCI and IV Sulfamethoxazole-trimethoprim 10 mg/kg/day IV in 2 equally divided doses daily and an Indwelling catheter was inserted.
Twenty-four hours later, his condition deteriorates HR135, BP 80/42. RR 35, TEMP 39 and looks generally unwell.
History from ED notes • Wife died 12 months ago • Social drinker • Heavy smoker 2 packs a day since commencing as a teenager.
• Chronic bronchitis on Ventolin and Atrovent.
• Previous UTI
• No cardiac history
Sample Solution