Cm Case Studies

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Recommended: Patient safety in the hospital setting

Background Information Summary The patient I had the pleasure of caring for was CM, a 77-year-old female who was admitted the to Emergency Department on March 30th, 2018 for altered mental status. CM was an active retired schoolteacher who lived at home with her husband and rescue puppy. A few days prior to being admitted, CM fell and hit her head while taking their puppy outside. On the morning of her admission to the Emergency Department, CM’s husband stated that she appeared lethargic with left-sided weakness. After the Emergency Medical Services arrived, CM began seizing and became unresponsive with forced gaze deviation. Upon arrival to the emergency department CM was hypertensive with systolic blood pressures in the 200’s and was still …show more content…

Additionally, her radial pulse in her right arm was diminished. Her mechanical ventilator was on assist control with a tidal volume of 450ml, respiratory rate set at 12 breaths per minuet, positive end-expiratory pressure of 5, fraction of inspired oxygen at 40 percent and an end tidal carbon dioxide level of 40mmHg. She had an oral temperature of 98.5 degrees Fahrenheit, an apical heart rate of 67 beats per minute; her respiratory rate was 12 breaths per minuet, with a oxygen saturation of 98 percent and blood pressure of 127/39. Her last bowel movement was on April 2nd and is currently NPO on continuous tube feedings of Benefiber. She has a red spot on her sacrum due to …show more content…

The radiology report came back negative and noted normal brain perfusion with no major vessel or arterial occlusions present. That same day she also received a magnetic resonance imaging of her brain with 18cc of MultiHance. The results of this test showed that she had no significant brain injury after her acute stroke. On April 31st, she had an x-ray of her abdomen done to verify the placement of her feeding tube in the fundus of stomach. In addition, she had a chest x-ray preformed to evaluate her heart and lungs. The findings indicated the presence of atherosclerosis of the aorta and bilateral effusions and bibasilar infiltrates due to atelectasis and hypoventilation. On April 2nd she had a fluoroscopy-guided lumbar puncture preformed with a 20 gauge spinal needle. They obtained 4 tubes of clear cerebrospinal fluid and a total volume of 9ml. The results showed that she had an elevated total protein level of 69.3 and a non-reactive Venereal Disease Reference Laboratory Test for

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