Reference no: EM132979933

CASE STUDY

Maddi Cook is a 11-year-old girl, admitted to the ward for chemotherapy management of Acute Lymphoblastic Leukaemia (ALL). Maddi has been feeling unwell for the last couple of days with increasing lethargy, fever, and breathlessness. Her observations are:

Temperature:            38.4°C

Pulse:                         140 beats/minute

BP:                              90/55mmHg

RR:                             32

SaO2:                         92%

Skin: very pale, warm, ecchymosis on extremities and buttocks. Petechiae of mucous membranes in oral cavity.

Her blood results reveal:

White cell count        0.1 x10⁹ /L

Haemoglobin            65g/L

Platelets                     45 X 10⁹/L

A Red Zone criterion (MET call) has been made. A provisional diagnosis of Neutropenic Sepsis is made, and Maddi is being transferred to the High Dependency Unit for monitoring and IV antibiotics.

Question:

Explain in an oral presentation the underlying pathophysiology of ONE of Maddi's clinical manifestations?

AND

Describe ONE high priority nursing intervention you would do to improve the clinical manifestation.

Attachment:- Case Study.rar