ABCDE Assessment | Sepsis | Emergency Simulation Scenario | OSCE Guide | UKMLA | CPSA
Geeky Medics・10 minutes read
A patient named Rizal with confusion and respiratory issues prompts a thorough assessment by junior doctor Leah, leading to a diagnosis of respiratory failure and sepsis. Leah contacts Dr. Potter Middleton, detailing Rizal's condition and treatment plan, requesting a review of the patient.
Insights
- Crackles heard during chest examination indicated low oxygen saturation and high respiratory rate, prompting a prescription of 15 liters of oxygen via a rebreather mask.
- Rizal's neurological assessment revealed confusion but no focal deficits, along with a high temperature of 38.4 degrees Celsius, suggesting potential sepsis from a chest source.
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Recent questions
What prompted the nurse to request an assessment for Rizal?
Rizal's increased confusion led the nurse to request an assessment.
What did Leah check during her assessment of Rizal?
Leah checked Rizal's full name, date of birth, chest, respiratory rate, and oxygen saturation levels.
What treatment was prescribed for Rizal based on the chest examination findings?
15 liters of oxygen via a rebreather mask was prescribed for Rizal.
What prompted the request for a chest x-ray and blood culture for Rizal?
An arterial blood gas test revealed type 1 respiratory failure and acidosis, prompting the request for a chest x-ray and blood culture.
What was the outcome of Leah's contact with Dr. Potter Middleton regarding Rizal's condition?
Dr. Middleton requested to review the patient after Leah expressed concern over Rizal's septic condition, detailing his medical history, examination findings, and treatment plan.
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Summary
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Patient Rizal's Severe Sepsis Requires Urgent Attention
- Rizal, a patient who fell and was awaiting physiotherapy, is now more confused, prompting a nurse to request an assessment.
- Leah, a junior doctor, introduces herself and begins a thorough assessment of Rizal, checking his full name and date of birth.
- Leah proceeds with a top-to-toe assessment, examining Rizal's chest, respiratory rate, and oxygen saturation levels.
- Crackles are heard during chest examination, indicating low oxygen saturation and high respiratory rate, leading to a prescription of 15 liters of oxygen via a rebreather mask.
- An arterial blood gas test reveals type 1 respiratory failure and acidosis, prompting a chest x-ray and blood culture request.
- Blood pressure and heart rate are found to be low and high, respectively, leading to the insertion of two large bore cannulas for blood tests, including a full blood count and lactate levels.
- A neurological assessment reveals confusion but no focal deficits, with a temperature of 38.4 degrees Celsius, indicating possible sepsis from a chest source.
- Leah contacts Dr. Potter Middleton, expressing concern over Rizal's septic condition, detailing his medical history, examination findings, and treatment plan, leading to a request for Dr. Middleton to review the patient.
