Pathophysiological Mechanisms And GCS Score - Zac Case Study - Nursing Assignment Help

Assignment Task 

At 0700, Zac is presenting with decreased GCS score.

1. Explain the most likely pathophysiological mechanisms for the presentation of decreased GCS score at this time. Include consideration of all other related cues/data.

Zac asks for some aspirin for his “hurting head”. Explain why the medical officer declines to chart aspirin for him.

1. In your explanation you should consider the likely pathophysiological processes that he is experiencing, and refer to the effects that the drug may exert on Zac at an organ, tissue or cellular level without the needing to explain molecular mechanisms for these effects.

Paramedics

When the ambulance arrived, Zac had a GCS of 15 and could recall the whole incident. Zac appeared to have no other injuries. The paramedics undertook vital signs which they stated were ‘normal’ and applied a bandage to Zac’s head wound. The security guard stated that he ‘didn’t think Zac lost consciousness

Triage

• 18 year old male, brought in by ambulance following an alleged altercation where patient struck head on road curb at 2300 hrs.
• Patient is denies loss of consciousness but unable to recall all events. Patient appears alert but teary and takes a couple of moments to answer questions.
• On examination, 4cm laceration noted with slow ooze from wound. Dressing insitu. Vital signs and GCS recorded at 2325 hrs as per chart. No other obvious injuries.
• Patient denies drug use, states has had approximately ‘five beers since 7pm’. Breath alcohol taken at 2330 hours 0.06%.
• Patient reports pain to be 5/10 at occipital region, no analgesia taken prior to presentation.
• Patient states is usually fit and wel

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