Respiratory system Case Study
The next case study is of a 37-year old Mexican male analyzing 145 lbs . and seventy inches tall found subconscious by his girlfriend. In respect to her having been unconscious for approximately 15 several hours and the girl was concerned because he probably would not wake or perhaps respond and was breathing shallow and slow. Your woman then referred to as 9-1-1. The person entered the ER by simply emergency motor vehicle and on my initial examination Pt recently had an altered mental status, was very unconcerned showing the signs of a possible medication overdose. The girlfriend informed the physician the Pt had considered 75 magnesium of methadone and a mystery amount of Xanex and also other amounts of Benzodiazepines. On examination, the doctor seen his changed mental status and unconscious status. He previously a gag reflex and responded to pain. Pt a new blood pressure of 63/41 and a 02 saturation of 50% on room atmosphere and a heart rate of 108. We put the affected person on an oxy mask by 14 lt and his vividness improved to 90%. The Physician in that case administered Narcan which in come back raised the respiratory charge. The medical doctor then ultimately intubated with Etomidate. He's then clinically determined to have Acute Reniforme Failure, Severe Lung Damage with conceivable aspiration and CHF with Atrial Fib.
The patient has had no preceding history of medication overdose. The individual did, yet , have a brother that recently determined suicide and was lately released via jail. The sufferer does consume alcohol and requires multiple streets medications and methadone pertaining to pain.
Just for this patient with my primary thoughts should be to order an ABG to test for acidosis and see when there is an electrolyte imbalance, a possible search within of the human brain. An EKG test might also be purchased to see how a heart has dealt with the stress. Giving him Narcan could help prevent the radio sites to stop the action of the OD. What became ordered is a ABG, a CT from the brain, EKG, NG pipe, Catheter, Glasgow Coma Level, Chest Xray and the lab drew blood vessels. The ABG showed extreme metabolic and...