Anaphylactic Shock Critical Care Case Study

Introduction (200 Words)

In this project a medical case is going to be studied deeply with literature support as a case study. My topic is about an anaphylactic shock that happened to patient in hospital while I was doing my clinical placement it is a very interesting case to be considered. An evidence-based information will be provided and identified such as: the definition, the symptoms, the diagnostic features and tests, the progress and the treatment and alternatives. The benefits behind studying a case is effectiveness of delivering the information. As stated by Davis and Wilcock, 2014 that it allows the application of theoretical concepts to be demonstrated and will encourage an active learning, increasing the student enjoyment and interest of the topic and their desire to learn and it also provide a developmental key in learning skills such as problem solving, communication and team work. It is an enjoyable and challenging way of studying filled with evidence-based practice that will enhance the level of doing researches and studies that will help in future studies.

Nursing Assessment (300 words)

The patient has been received in Accident & Emergency in resuscitation room (RR). J.A.M 52 years old Bahraini female. The patient had an insect bite in that day while she was walking in public walking area, she stopped walking and itching occurred all over the body. While driving home after the insect bite the patient felt drowsy and hit another car near her house and loss consciousness. J.A.M was brought to the unit by 999 ambulance fully awake, well oriented, alert, afebrile, no respiratory difficulties, no complains of pain, skin is warm and dry, pallor and shivering with rash on the face gave history of feeling nauseated and vomited 4 times. Vital signs Checked and recorded Temperature 37.4C, Spo2 98%, Pulse 118/Minute, BP 145/43, HGT 7.6 Mmol/L. The skin was mainly involved representing pale colour and rash on the face, the cardiovascular system represents tachycardia, and the immune system is responsible for this reaction against the insect bite. The patient denies any chest pain, denies shortness of breath, the patient is known case of dyslipidemia on tablet Lipitor, no other history of other illness, no history of surgery and no history of any allergy. The patient can handle the basics of activity daily living such as eating, bathing, toileting, dressing and she is able walk and get out of the bed but she is not able to perform certain activities such as food preparation, housekeeping and driving a car. After the acute symptoms have been treated the family should be given health education about how to prevent possible future allergic reaction and the importance of seeking help as quick as possible if they do not know how to deal with the situation. Physical examination was done for cardiovascular system representing chest is equal in shape, no bounding or heaving, no lifting with heartbeat. Upper & lower extremities are normal in color and capillary refill within 3 seconds, skin is warm periphery with no edema. S1 is heard in all sites and S2 is heard all sites but louder at base and tachycardia observed. Skin is pale, dry, soft, warm. No edema, lesions or odor, good turgor, no signs of insect bite, rashes on face.

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