In this task you will provide a response to a case study. There are 2 case studies; you will select and answer questions for only one of these Case studies. Please follow the steps below:

Step 1: Choose A Clinical Scenario

Clinical scenario 1: Chronic Obstructive Pulmonary Disease

Mr. Krum is a 70yr/old male who presented to the ED at 8am today.

He was c/o SOB, dyspnoea, wheezing, and had a productive cough with yellow sputum. He is tachypneic with a RR 30 and has decreased sats of 87% on Room Air. Intercostal and substernal accessory muscle use is evident.

History:

Ax: nil

Meds: Ventolin 4 puffs via spacer PRN. Atrovent 500 mg BD.

Past illnesses: Current cigarette smoker, emphysema, malnutrition

Last meal: Dinner Last Night

Events leading up to presentation: trying to shower this morning

His vital signs are a Temp 39, GCS 15, HR 105, NiBP- 140/90, Sp02- 87%, RR 30.

He was given his regular meds and a PIVC is insitu in R) ACF – patent.  

Clinical scenario 2: Gestational Diabetes Mellitis- Hyperglycaemia

Ms Cho Chang is an 28-year-old female who presented to the hospital with GCS- 14 confused to time and place and a BGL of 26mmol.

A- Nil allergies, M- nil meds, P- nil past illnesses, Last meal- this morning at 0800 fruit loops, E- She is 30 weeks gestation and has had symptoms of increased thirst, increased urination, increased hunger have been ongoing and increasing over the