NSG2201: Clinical Care B - Mr Jason Bourne Case Study - Nursing Assignment Help

Assignment Task:

Case Study 

Mr Jason Bourne is a 35-year-old man who presented to his GP complaining of nausea, vomiting, dizziness and severe headache. He has no relevant history apart from a very sore throat over the past week. He is normally fit & healthy. He is married to Gwyneth and they have two sons, Bill and Ben, twins, who are 5 years old. The GP sent him home after giving him an injection of Metoclopramide 10 mg and Morphine 10mg for a migraine headache. 

Last night Jason woke his wife complaining that his headache was worse. He vomited all over the bed and collapsed. An ambulance was called and Jason was taken to the ED. 

On admission 

• T.39° 

• P. 120 & regular 

• RR. 28 bpm 

• BP. 170/90 

• SpO2. 94% on room air 

• BGL. 3.5 mmol/L 

• Pupil reaction. Slow & PEARL 

• Photophobic 

• Pupil Size. 3 mm L & R 

• GCS. 11 (3,3,5) 

• Nuchal Rigidity 

Jason was ordered 

• blood cultures, FBE, E&U, LFT, Glucose level, platelet count 

• Lumbar Puncture – protein, glucose, WBC, Gram Stain & culture 

• CT, MRI, 

• IV Therapy 

• IV Antibiotic therapy 

• Dexamethasone 

• IV Paracetamol 

• IV Mannitol 

The provisional diagnosis is Bacterial Meningitis

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