Case Study On Acute Pulmonary Oedema Secondary

1758 WordsApr 24, 20168 Pages
Case study The case study relates to Mr Brown, who diagnosed with acute pulmonary oedema secondary to acute renal failure, due to excessive use of opioids. The assignment will address Mr Brown’s initial presentation and assessment, relevant past history, medications as well as the current assessment finding that had him admitted to intensive care unit. Briefly discussing the patients’ pathology results scans and as well as drug treatments to correct electrolyte imbalances. Furthermore discuss the effects of age related physiological effects on respiratory, cardiovascular and renal system and lastly the pathophysiology and treatment on opioid toxicity, acute renal failure and acute pulmonary oedema. Mr Brown is a 76 year old male, which presented to the emergency department via ambulance with thoracic back pain, which commenced two days prior to the presentation. The triage assessment stated the patient is alert, orientated, distressed, chest clear and equal, neurovascular intact with equal strength in all extremities and good strong regular pulses. The nil injury stated patient said he ‘just woke up with it’. The patient’s observation displayed a temperature of 36.9°C, blood pressure of 169/105, pulse rate of 99 beats per minute, respiratory rate of 20 breaths per minute, Glasgow coma score of 15, and a blood glucose level of 5.4. Mr Brown’s has a past medical history of atrial fibrillation, asthma, emphysema, hypertension, chronic back pain, lumbar fusion (L1), total

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