Case 3
Your cardiology team are keen to take the patient to the catherterisation laboratory, and will have their team gathered and ready to go in half an hour (it is 02:00).
You have given a careful handover of the story so far to the ICU Registrar, who is preparing her kit to transfer the patient there and then on to ICU.
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Question 1 of 3
1. Question
What else, in terms of this patient's management, can you implement immediately to improve this patient's potential outcome?
See if you can identify the best course of action.
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Question 2 of 3
2. Question
The patient's partner arrives in the department and states your patient always said he would not want to be on 'life support' if he were that unwell, stating "He wouldn't want to be a vegetable".
What would you want to discuss with her?
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Question 3 of 3
3. Question
Before heading home from your night shift, you visit ICU to see how he is progressing, and to drop your written notes off, which you have finally had time to write.
He has had a large clot removed from his right coronary artery, and since then has been haemodynamically stable without inotropic support.
He is sedated with Propofol, on pressure support ventilation (meaning all breaths initiated are his own).
- 40% O2
- Blood gases are looking good
- Urine output is acceptable
The ICU team are considering formally reassessing his neurological function. Aside from damage sustained during the arrest, what two factors will affect the neurological exam?
CorrectIncorrect