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University
Shawnee State University
Major
Respiratory Therapy
Presentation Types
Oral Group Presentation
Abstract
Patient arrived to the ER with shortness of breath, orthopnea, and altered mental status, despite additional oxygen her oxygenation status continued to deteriorate. Patient has a significant past medical history of chronic breast cancer. Arterial blood gas was ordered and resulted with hypercapnic respiratory failure. The patient was then placed on BiPAP but, was non-compliant with use of wearing. Patient was admitted to the Intensive Care Unit (ICU), intubated and placed on mechanical ventilation. The Chest x-ray and CT scan revealed a massive left sided pleural effusion with mediastinal shift. Patient underwent a thoracentesis to remove an excess amount of fluid. The patient since being admitted has struggled with hypervolemia that has caused peripheral edema but is also anemic with a low hemoglobin. Despite intensifying ventilator settings, multiple procedures, and increased medications, patient still remains very critical and rapidly declining. Moreover, patient family considered overall patient health and decided to change patient code status.
Human Subjects
yes
IRB Approval
no
Faculty Mentor Name
Amy France
Faculty Mentor Title
Director of respiratory Therapy
Faculty Mentor Academic Department
Allied Health Sciences
Recommended Citation
Stapleton, Derek; Craycraft, Dylan; and Psurny, Garrett, "Case Study" (2021). Celebration of Scholarship. 1.
https://digitalcommons.shawnee.edu/cos/2021/day3/1
Case Study
Patient arrived to the ER with shortness of breath, orthopnea, and altered mental status, despite additional oxygen her oxygenation status continued to deteriorate. Patient has a significant past medical history of chronic breast cancer. Arterial blood gas was ordered and resulted with hypercapnic respiratory failure. The patient was then placed on BiPAP but, was non-compliant with use of wearing. Patient was admitted to the Intensive Care Unit (ICU), intubated and placed on mechanical ventilation. The Chest x-ray and CT scan revealed a massive left sided pleural effusion with mediastinal shift. Patient underwent a thoracentesis to remove an excess amount of fluid. The patient since being admitted has struggled with hypervolemia that has caused peripheral edema but is also anemic with a low hemoglobin. Despite intensifying ventilator settings, multiple procedures, and increased medications, patient still remains very critical and rapidly declining. Moreover, patient family considered overall patient health and decided to change patient code status.