Page 70 - English For Nursing

Read the scenario description of a patient below, then fill in the blanks with the
appropriate words in the box.

Background:
Emergency Medical Service providers must be capable of maintaining a high sensitivity for sepsis patients
while limiting false positives. The flu can easily mimic pneumonia, making sepsis recognition more
difficult. In this case, the rapid onset, non-productive cough and clear lung sounds make the argument for
a flu diagnosis over pneumonia.

Scenario Overview:
Crew arrives to find a 56-year-old female with sudden onset of high fever, general malaise and a non-
productive cough. She woke this morning feeling normal. Her symptoms began suddenly right after lunch

and worsened rapidly. She has a frequent non-productive cough, and her fever has not responded to
acetaminophen.
… hyperlipidemia and type 2 diabetes
… penicillin and naproxen

… simvastatin and metformin
… 120 pounds/5 feet, 6 inches
HR is 100, BP is 118/70, RR is 20/min, SpO2 is 98
percent, glucose 140 mg/dl, temp 103.5 F, ETCO2
…
40 mm Hg with a normal waveform, and lung

sounds are clear.

Patient height/weight Medications Allergies History Vitals
1. What could probably the diagnosis of the symptoms below?
2. Please describe the information in the table above in front of the class.

In pairs, choose one of the following diseases below and have a discussion. Then, present
your discussion result.

AIDS Tuberculosis Malaria Rabies Leprosy

Discussion:
1. Describe the probable scenario of one of the 5 diseases above.
2. Describe the symptoms and their physical characteristics experienced by the patient.

66