The same situation was observed in a range of medical complications. Pathophysiological factors related to deterioration in adult patients suffering from Parkinson’ s diseases included constipation, acute pain, dehydration and extreme stress episodes. Further studies by Elling (2006) of patients in acute hospitals indicated that changes in the vital signs could also pre-empt deterioration of acutely unwell patients. The vital signs included the temperature, pulse, blood pressure, oxygen saturation and respiratory rates. Indications of extreme vitals sign values could be utilized to develop early warning scores that could drastically improve the state of the patient through timely medical intervention. Furthermore, studies by Lippincott and Wilkins.
(2011)Also indicated that arterial blood gas measures, peripheral circulation, urinary output, airway obstruction, drain fluid loss were general predictors of deterioration in acutely unwell patients. In the case of sudden cardiac deaths, identification of physiological abnormalities significantly prevented the deterioration of the patients’ status. According to Tait (2012), early signs of cardiac arrest have been identified as severe chest pain before suffering cardiac arrest and sudden episodes of syncope. In addition, minor pathophysiological factors that have been related to cardiac arrest include pre-syncope, palpitation and heart murmur.
The onset of arrhythmic syncope could further be indicated by the occurrence of syncope in the supine, exercise-related syncope, syncope with prodromal symptoms. Subsequently, deteriorating cardiac arrest patients also showed failed nervous, respiratory and cardiovascular systems. Therefore, accurate monitoring and early detection of these physiological abnormalities are essential for the prevention of sudden cardiac arrest and deaths (Elliot and Coventry, 2012). (2012) also documented early pathophysiological factors that led to early neurological deterioration( END). The occurrence of acute cerebral ischemia indicated the first signs of END worsening.
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