Case Analysis

[Name of the institute]Case Analysis

Case Background

Mrs. Patel admitted to the ward who is a 42 years old woman. She has a week long history of, poor appetite, fatigue, thirst, headache and increasing frequency in urination. The medical officer (MO) reviews Mrs. Patel and inserts an intravenous cannula, orders Oxygen at 2Litres/minute via nasal prongs, intravenous fluid (IVF) of 0.9% Sodium Chloride with 30 mmoL potassium chloride (KCl) at 125mls per hour. She is given a provisional diagnosis of Type 2 Diabetes Mellitus.

Analysis and Nursing Implications

The condition in which Mrs. Patel is admitted to the ward is a deteriorating and critical condition. In this condition, the nursing staff should conduct the primary survey. The aim of the primary survey is to analyze the condition and critical situation that requires first aid on an emergency level. To conduct the primary survey, nursing staff should make the usage of the ABCDEFG framework (Jacques et al, 2009):

Analysis of Airways

In case of Mrs. Patel, the nursing staff of the ward where Mrs. Pated is admitted should first of all make an attempt to check airways. While performing the airways analysis a nurse should begin the process by introducing himself or herself. By doing this a nurse can reap a lot of advantages. First of all it helps a nurse to make the patient feel comfortable. Secondly it tells a lot about the patient's condition. With the help of the answer of the patient a nurse can look for the signs of the possible situation of the patient of consciousness. While examining whether the airway of patient is obstructed or not a nurse should auscultate speech, noisy respiration, gurgling or snoring. A nurse can palpate through chest and abdomen for the abnormal movement during inspiration and expiration. As the content of the given case suggest that after the review the MRO ordered Oxygen through nasals prongs this suggests that Mrs. Patel was suffering from airways obstruction (LeMone & Burke, 2011).

Analysis of Breathing

The content of the case shows that after the examination MRO orders Oxygen at 2 liters/minute so this suggests that the breathing of Mrs. Patel is not too bad. After auscultation of chest movement or accessory muscles if the condition does not seem good then Oxygen at about 6 to 15 liters/minute is suggested (LeMone & Burke, 2011).

Analysis of Circulation

While analyzing circulation a nurse should palpate pulse rate, look for the signs by observing ...