tasked to a 53 yo male with increasing shortness of breath
tasked to a 53 yo male with in" rel="nofollow">increasin" rel="nofollow">ing shortness of breath
Order Description
Case
You are tasked to a 53 yo male with in" rel="nofollow">increasin" rel="nofollow">ing shortness of breath
Assessment
Patient is pale cool, clammy, lookin" rel="nofollow">ing fatigued and unwell, Dizzy
RR 28, SpO2 95%, BP 180/110, HR 75, Cap refill >3 secs,
ECG
Severe Hyperkalaemia ECG
Eyes, Pale conjunctiva, pupils EARRL size 2 sluggish, peri-orbital oedema
Lungs - bibasilar crepitations,
Normal heart sounds
Abdo distended, extremities pittin" rel="nofollow">ing oedema to the sacrum,
PMHx
Nil allergies
End stage renal disease on haemodialysis x 3/week, HT, Diabetes, Hyperlipidaemia, Coronary artery disease, asthma
Medications - lisonopril, glargin" rel="nofollow">ine, novorapid (Slidin" rel="nofollow">ing scale), aspirin" rel="nofollow">in, simvastatin" rel="nofollow">in, salbutamol, breo, hydrocortisone cream,
FHx - HT, diabetes, CAD
Social history - smoker, occasional EToH, no recreational drugs
What do you know about the patient? What is the key in" rel="nofollow">information? What do you still need to fin" rel="nofollow">ind out?
Outlin" rel="nofollow">ine 3 provisional diagnoses.
Discuss your fin" rel="nofollow">inal diagnosis and the pathophysiology behin" rel="nofollow">ind the diagnosis.
Discuss the implications for paramedic practice.
Reference List