airway administration

CASE DISPLAY

Patient's Personal Details

Registration Number: HK00033285

 Sex: Male

 Race: Cina

 Era: 76 years of age

 Time of Admission: 28. 2009. 12

Chief Protest

Renal function damaged during follow up

under Tenom Hospital for 2/7 ago.

Great Present disease

Noted having refractory hyperkalemia

secondary to CKD.

 Loss of hunger.

 Headaches.

 Weight-loss without excess weight.

 Simply no chest pain.

 No SOB (Shortness of Breath)

 No nausea

 Not any urinary tract infection

Past Medical History

Individual has Diabetes Mellitus and

Hypertension but under assessment

Family History and Social Record

A few family members has Diabetes

Mellitus and hypertension.

 Social History: Non alcohol, Non

person.

Essential Sign

Blood Pressure: 136/75 mmHg.

 Heart beat Rate: 67/min (irregular rhythm)

 Temp: 37°c

 Respiratory Price: 21/min

 Pain Rating: 2/10

Physical Assessment

Cardiovascular System

 DRNM

 Irregular rhythm of pulse

Respiratory System

 Lung clear

 Simply no respiratory distress

 No sign of cyanosis

 No Ronchi

Abdomen

 Soft

 No tenderness

 Simply no swelling

Central Nervous System

 Zero loss of experience

 GCS: 15/15

Upper and Lower Limbs

 No pedal oedema

 No deformity seen.

 Capilarry refill normal.

Investigation

BUSE

urea - twenty-eight. 2 mmol/L ABNORMAL (2. 0 - 8. 3)

chloride – 114. you mmol/L IRREGULAR (95 -- 110)

creatinine – 539 umol/L IRREGULAR

sodium and potassium NORMAL.

1 .

installment payments on your LFT

Necessary protein – 62. 6 g/L ABNORMAL (66 - 87)

3. VENOUS BLOOD FUMES

pH – 7. one particular ABNORMAL (7. 3-7. 4)

Total Co2 – 13. 2 mmHg ABNORMAL (21-30)

PaO2 – 31. 6 mmHg IRREGULAR (80-100)

SPO2 – 48% ABNORMAL (95-100)

4. FBC

RBC – 2 . 53 ABNORMAL (4 - 6)

Hb – 7. two g/dL IRREGULAR (13. five - 18)

Platelet – 122 UNUSUAL (150-400)

Additional Ix

Ultrasound

 DXT QID to get DM

Management

1 )

2 .

a few.

4.

5.

6.

7.

Send rehabilitation for haemodialisis.

Insert femoral catheter intended for HD.

DXT qid with...

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