07-30-2019, 02:22 PM
(This post was last modified: 10-30-2019, 03:00 PM by RichardPinto.)
Cardiac Arrest/Pneumonia/Sepsis in Neuro
Created September 2017
Developed by:
Bart Bielec
Developed for: VCH
Submitted by: RichardPinto
Contact Email: bart.bielec@vch.ca
Peer Reviewed: Yes
Case Summary:
Patient Description:
Name: Irina Simonova
Age: 77
Weight: 65kg
Hx of current condition: Admitted 2 weeks ago with history of L-sided ischemic stroke. As a result of the stroke she developed R-sided weakness, dysphagia, slurred speech and unsteady gait.
She has been eating dental-soft diet with thickened fluids.
Yesterday, she developed fever 38.9 Celsius, cough, and coarse breath sounds to R middle and lower lung fields. Chest X-ray was showing R middle-lobe infiltrates consistent with aspiration pneumonia. She was started on Pip-Tazo. 3.375 G IV Q6H and 02 at 40% via Opti-flow.
Today she was found restless, confused, cyanotic, diaphoretic. O2 cannula was out of her nose, and her respirations were rapid, labored and noisy.
Medical Hx: M
Target Learning Groups:
Interprofessional Team
Additional Target Learning Groups:
Proposed Setting:
Neurology Unit
Educational goals:
Additional Details:
References:
Scenario Links:
Additional Tags:
If you would like further information about this scenario please contact bart.bielec@vch.ca or leave a comment below.