Patient Care Guidelines Development

Case Study5 You encounter a patient, Olive, an 83yo F, who was found by her friend to be unresponsive at home so she called 000.  You perform an assessment and find the following:    Olive’s friend states that Olive was due at her walking club but didn’t turn up this morning and so she went to check on her. She found Olive unresponsive at home in sitting in a chair. She appears to be in a deep sleep Olive is breathing, but she is barely conscious and only moans and goes back to sleep when you try and rouse her.   You assess Olive’s vital signs and find:   Olive is hypotensive and bradycardic  Olive has bradypnea and looks to be taking shallow breaths Olive has a normal ECG (though a slow rhythm) Olive’s skin is pale Olive’s pupils are pinpoint (very small) Olive’s BSL is 5.2 and her temperature is 36.5C   Olive’s friend states that Olive is usually very independent and lives at home alone. Olive has had surgery recently on her elbow and was taking some strong pain relief medications but she doesn’t know what they are.  Apparently, Olive has a habit of taking all her medications out of their packaging and putting them in a little, unmarked jar and then throwing away the packaging. Olive does have a habit of forgetting her doctor’s instructions and getting her medications wrong.     Task Your task is to answer the following questions in the text box below (you should write your answers in a word document and then cut and paste them into the textbox below to avoid loosing your work): Q4-Given the disease process you have identified, what kinds of medications or treatments can be given prehospitally and how would they likely benefit this patient Comment ( note ) Q4 – Please ensure you are referring to APC Drug Therapy Protocols, as you need to identify vital medication(s) which are available to you within your scope of practice. - This question is also asking how each medication would specifically benefit the patient. Please refer to each medications pharmacology/mechanism of action when answering this question. This patient is also has bradypnea, what would you need to do to assist this patient? Medication link [login to view URL]   Case Study 4  You encounter a patient, Teuila, a 60yo F, who has been unwell with a fever for the last 10/7. This evening her daughter visited her and was concerned so called 000.  You perform an assessment and find the following:    Teuila is sitting up in an armchair and is conscious and alert but her lounge room feels like a sauna to you, yet Teuila is complaining of feeling cold and unable to warm up. Teuila says she has been unwell for a while and seems to be getting worse When you look at Teuila she appears exhausted.     You assess Teuila’s vital signs and find:   Teuila is very tachypnoeic (RR 28) and looks to be taking shallow breaths Teuila is hypotensive (BP 85/60), and tachycardic (HR 122) Teuila has a normal ECG Teuila’s skin is hot but she is pale and sweaty Teuila’s BSL is 4.2 and her temperature is 39.8C   Teuila says that initially she was having trouble going to the toilet and that its gotten worse. She says that she has only been to the bathroom on one occasion in the last 48hrs to pass urine and that it smelled “terrible”. Teuila’s daughter explains that her father passed away two years ago and since then her mother has withdrawn socially and hasn’t been taking the best care of herself.  Teuila was visited by the doctor  7 days ago, and the doctor said she had a UTI and prescribed medications, but Teuila never filled the prescription and now it is lost. Teuila's daughter said that the doctor stated it was important she took the medications or her UTI could get worse and she might develop another condition that was much worse, but she can't remember the name of the worse condition.      Task Your task is to answer the following questions in the text box below (you should write your answers in a word document and then cut and paste them into the textbox below to avoid loosing your work):   Q4-Given the disease process you have identified, what kinds of medications or treatments can be given prehospitally and how would they likely benefit this patient?  comment (notes) Q4 – Please ensure you are referring to APC Drug Therapy Protocols, as you need to identify vital medication(s) which are available to you within your scope of practice.