Tachypnoeic , Hypoxic, Hypotensive, Tachycardic

Tachypnoeic , Hypoxic, Hypotensive, Tachycardic

84 year old female – Tachypnoeic , hypoxic, hypotensive, tachycardic

  • Pt is discharged from hosiptal 5/7 ago post ORIF to R) hip after a mechanical fall
  • spontaneous, RR 36, Sp02 88% RA, increased work of breathing , accessory muscle use
  • GCS 13/15 (E3V4M6), PEARL 3mm Brisk
  • temp 38.9, diaphoretic +++, dressing insitu to R) hip wound with some strikethrough/purulent ooze evident.
  • A full blood count is taken on arrival WCC: 16.8 Hb:85 Hct:24.8

Patient is “at risk of’ developing of sepsis due to wound infection

 

Question : Explain the pathophysiology and how this relates to the patients clinical presentation. I.e. What is happening in the body to cause the signs and symptoms that the patient has