Betty is a 72-year-old English lady who

Betty is a 72-year-old English lady who lives with her partner Malcolm in their own 2-bedroom house. Betty has two daughters who visit regularly, and she cares for one of her grandsons on Tuesdays and Thursdays while his parents are working. Betty presented to her GP following a 12hr history of ‘droopy eye’ which is diagnosed as ptosis. On neurological examination, the GP noted that her L) pupil was sluggish to respond to light and she was hypertensive 172/98mmHg on assessment. Neither of these symptoms were present in Betty’s past medical history so suspecting a neurological event. The GP sent Betty to the local hospital for an MRI and further investigation by the neurological team. Now in the hospital, Betty complains of a sudden intense headache with visual disturbance, neck stiffness and nausea. Past medical history Hypertension, diagnose 20 years ago Hypercholesterolaemia diagnosed 20 years ago L) TKR, 10 years ago Osteoarthritis Psoriasis diagnosed 55 years ago L) Leg DVT, post TKR Vital signs Pulse: 115 beats per minute BP:172/98 mmHg Respirations: 26 breaths per minute Temperature: 38.4oC Current medications include: PO Ibuprofen 400mg QID PO Panadol Osteo 650mg TDS PO Simvastatin 40mg nocte PO Trandolapril 4mg Daily Celestone Ointment applied to Psoriatic patches TDS PRN Discuss the likely changes you would expect to see in Betty’s neurological and vital signs when her condition deteriorates? Explain the pathophysiology. [TN1] SCIENCE HEALTH SCIENCE NURSING NURSING HLT54115

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