[Verified Answer]: Sepsis/Septic Shock Case Study Part I:…

Sepsis/Septic Shock Case Study Part I: Recognizing RELEVANT Clinical Data History of Present Problem: Jack Holmes a 72-year-old Caucasian male brought to the ED by ambulance from a skilled nursing facility (SNF). According to report from the paramedic, when the SNF nursing staff attempted to wake him this morning, he would not respond, and his BP was 74/40 with a MAP of 51. He has a history of Parkinson’s disease, COPD, CHF, HTN, depression, and a stage IV decubitus ulcer on his coccyx that developed three months ago. He does not follow commands, is unresponsive to verbal stimuli, but responds to a sternal rub with grimacing and withdrawing from stimulus. Personal/Social History: He has lived in the skilled nursing facility the past three years and has been bed bound the past year due to his advanced Parkinson’s disease. He was a heavy smoker, 1 PPD for 40 years until he moved to the SNF. What data from the histories are RELEVANT and why is it clinically significant? RELEVANT Data from Present Problem: Clinical Significance: RELEVANT Data from Social History: Clinical Significance: Patient Care Begins Current VS: T: 103.4 F/39.7 C (oral) P: 135 (irregular) R: 32 (regular) BP: 76/39 MAP: 51 O2 sat: 91% 2 liters n/c P-Q-R-S-T Pain Assessment: Provoking/Palliative: Not responsive verbally, withdraws to pain, no other indicators of pain Quality: Region/Radiation: Severity: Timing: What VS data are RELEVANT and why is it clinically significant? RELEVANT VS Data: Clinical Significance: