Mr. Bedford Case Study - Medical Science Assignment Help

Assignment Task

Task 

Mr. Bedford Case Senario

Mr. Bedford, a 28-year-old gentleman presents to ED at 0300 hrs with worsening shortness of breath since midnight. Complains of right sided- pleuritic chest pain and persistent productive cough.Talking in words, audible wheeze, appears dyspneic, tripoding.

• Appears unwell
• Past Medical History:Asthma since 8 years of age 

Eczema
• Medications: budesonide at 320 pg + formoterol at 9 pg b.i.d. combination and T. Prednisolone 30 mg/day for the last 5 months

Assessment 

Airway - Patient 
Breathing - Spontaneous, RR-38/mt, SPO2-77% RA, decreased lung sounds left lower lobe, bilateral diffuse high-pitched wheeze
Circulation - Appears flushed in face and neck, BP-136/92 mmHg, HR- 122/mt, dry mucous membranes, S I S2 normal,
Disability - GCS- 14 E4V4M6, not oriented to time, place or person, PEARL- 3mm
Exposure - Needed support to walk from waiting room to bed space. Unable to lie supine, tripoding.
Temperature 38.9 deg Celsius.Abdomen soft, no organomegaly, peripheries cold, centrally warm. Nil edema.
Fluids - Unable to tolerate oral fluids, NBM for now
Glucose - BGL-6.0 mmol/L

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