SOLVED430

Mrs P., a 38-yo Caucasian female, with no pre-existing health conditions, experienced some significant headaches, reported stiffness in her neck and fatigue, presented to an Emergency Department (ED) at a tertiary hospital in the Perth Metropolitan area on Wednesday the 2nd of August ’23 in the evening with worsening symptoms. She was placed in the observation area and assessed by an ED nurse at 18:00 hours. Her initial observation parameters were Temp 37.8 C (oral), BP 140/90 mmHg, HR 92, RR 17/minute. Observations were repeated half-hourly by the nurse, with no further variable /unstable values observed; her vital signs remained stable. After 4 hours of waiting and no further changes of her symptoms, she was diagnosed with a migraine, although she reported that she never had experienced any migraine before and still being unwell, she was sent home, with some oral pain medication to treat the headaches. Three days later, on the 5th of August, the symptoms worsened, she felt nauseated and started vomiting. After no further improvement, she then presented again to the same ED with the same symptoms including stiffness to her neck, but was now experiencing, slurred speech, a substantial headache and further deterioration. Observation parameters were
SCIENCE
HEALTH SCIENCE
NURSING

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