Guillermina Ortiz is 32yo. She is a

Guillermina Ortiz is 32yo. She is a security guard who has been working outside all day at the Summer Music Festival. Unfortunately, her replacement never showed up, so she was the only one responsible for the event. Eventually she was able to go home, but that was a long bus ride in the heat. Once home, she just went straight to bed as she was utterly exhausted. Her flatmates were surprised when she didn’t appear for their normal Sunday breakfast date and went to check on her. They were very concerned as she was a bit difficult to rouse and seemed a bit confused when they asked her if she was ok. One of her flatmates had a car, so they took her to the local hospital. Collect cues Past medical history: No previous surgeries No medical history No medications Weight: 65 kg Height: 160 cm Physical assessment: Respiratory rate = 26 bpm SpO2 = 100% on room air BP = 100/55 mmHg: MAP 70 mmHg Heart rate = 116 bpm Temp = 37.8oC Glasgow Coma Scale Neurological Assessment: Best eye response: to verbal command +3 Best verbal response: confused +4 Best motor response: obeys command +6 Inspection: Pallor Dry mucous membranes Palpation Cool to touch Reduced skin turgor Capillary refill > 4 sec Venous blood gases: • pH 7.30 (ref range: 7.31 – 7.41) • pO2 35 mmHg (ref range: 30mmHg – 40mmHg) • pCO2 36 mmHg (ref range: 41mmHg – 51mmHg) • Bicarbonate 20 mmol/L (ref range: 23 – 29mmol/L) Bloods: FBC & U&E – notable results Haematocrit: 52% (ref range females: 36 – 48%) Creatinine: 235 µmol/L (female 45 – 90 µmol/L) Urea: 14 mmol/L (3 – 8 mmol/L) Peripheral blood glucose level: 4.1 mmol/L (4.0 – 6.5 mmol/L Patient advises that she cannot recall when she last emptied her bladder Case study of Guillermina Ortiz Please provide pthaphysiology of the patient. Cues are his report run when brought in the hospital wiht history and medication prescribed. SCIENCE HEALTH SCIENCE NURSING CNC 240

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