Advanced Pathophysiology Report

GNT1

Task 1

Advanced Pathophysiology

Assessment of Geriatric Patient with Multisystem Failure

The key immediate assessment of the patient to assess homeostasis, oxygenation and level of pain would be: breath sounds oxygen saturation respiratory rate and pattern vital signs cognitive ability urine output finger stick glucose restlessness If available lab results, I would like to see the resulted complete blood count with differential and complete metabolic profile. Possibly supplying the patient with supplemental oxygen if deemed so by her oximetry and perfusion status review. As such the following would be the initial assessment and treatment:
Obtain vital signs: blood
Blood cultures and antibiotic sensitivities for sepsis pulse oximeter-to rapidly measure the oxygenation of her hemoglobin saturation 95 to 99 percent expected. continuous cardiac monitoring via electrocardiogram(EKG)-to examine rhythm and rate-expect normal sinus rhythm and rate 80-100 beats per minute.
Thermometer-measure the core temperature which should be 37 c if above 38 c or below 36 c if hypothermic bladder catheterization kit chest x-ray- cardio pulmonary function

The benefits of using these tools, as time is critical for an older patient who has multiple

organ dysfunction syndrome(MODS), is to have precise and state-of-the-art information to

effectively treat the patient. Maintaining and monitoring tissue perfusion would be key goals
The patient became unresponsive; her respirations became more labored, so breathing became the main priority while reading the scenario. The patient is unable to verbalize how she is feeling and with her dyspnea it is clear she is in respiratory distress.
Evaluating the electrocardiogram would be done to ascertain if there are any dysrhythmias that could be causing the symptoms. I would review the vital signs, is the patient having hypo- hypertension? Review the patient 's pain assessment, is the patient experiencing any pain?
I would then review lab results, focusing on abnormal results. The prioritization was done with basis for basic needs first, that of breathing effectively to promote oxygenation then focus of vital sign monitoring that is compatible with sustaining life.

I would assess pain in a geriatric patient who is alert by questioning the patient directly, do they have any pain, asking them where the pain is, what is the duration of the pain and when was onset. On a numeric pain scale 0 to 10 what is their level of pain. Are they taking any pain medication at home? In a geriatric patient who is not alert, I would need to