Oedema Case Studies

Case study

This case study relates to Mr Brown who diagnoses with acute pulmonary oedema secondly to acute renal failure from excessive use of opioids. This assignment will address Mr Brown’s initial presentation and assessment, relevant past history, medications as well as the current assessment finding. The

Mr Brown is 76 year old male that present to emergency department via ambulance with thoracic back pain that commence two days prior to presentation. Triage assessment stated patient alert, orientated, distressed, chest clear and equal, neurovascular intact with equal strength in all extremities and good strong regular pulses. Nil injury stated patient stated he ‘just woke up with it’ Patients observation were as temperature 36.9 blood

Past medical history was atrial fibrillation, asthma, emphysema, hypertension, chronic back pain, lumbar fusion (L1), total left hip, left knee and bilateral shoulder replacement, arthritis, osteoporosis. Medications were targin, lyrica, panadol osteo, aspirin, ramipril, vasocardol, symbicort. Pathology, Electrocardiogram, x- ray (thoracic area) and computed tomography pulmonary angiography (looking for pulmonary embolism) performed. Majorly test came back negative except for raised c-reactive factors (289), an inflammation marker that indicates tissue injury, this is a protein that is produced within the liver and is then release into the circulatory system, and as well as an increase white cell count (12) which can indicates infection and/or inflammation reaction ( ). Patient admitted to medical ward for further tests and pain relief for

As we get older Age effect all element of the body’s system and can have detrimental effects on the respiratory cardiovascular and renal system. our respiratory muscles weaken and the patient’s vital capacity and lung compliance decreases due to the patient’s ability to fill his lungs with air and as well as reduces the surface tension (Seeley, Stephens and Tate 2002). As the alveoli become stretched and less compliant the residual volume and amount of dead space will increase, therefore this will impede on ability of gas exchange between the atmosphere and tissues cells. Blood pressure, capillary permeability and osmosis will affect movement of fluid within the circulatory system therefore can lead to extravascular accumulation of fluids within the tissues and pulmonary alveoli (Seeley, Stephens and Tate 2002). Kidney size decreases, blood flow to the kidneys are effected and decreased the ability for the kidney to adsorb and secrete toxin for the circulatory system can be problematic, with the kidney not making enough concentration of urine this may increase the chances of the patient becoming dehydrated (Seeley, Stephens and Tate 2002).Mr Brown had a series of three major pathophysiological events that contributed to his admission to intensive care unit. Firstly as stated Mr Brown had huge amount of opioids for his back pain, and