Case Scenario

The medical emergency team (MET) is called to review a 65-year-old man on the surgical ward. He is at day 4 following a Whipple’s procedure for pancreatic cancer. On arrival, he is noted to be hypotensive with a systolic blood pressure of 85 mmHg, bradycardic with a heart rate of 48 bpm, and hypoxic to 93% O2 on room air. The MET team initiates oxygen therapy, intravenous fluid bolus, and begin to investigate a cause for the deterioration. 

Learning Objectives

After reading this article, pharmacists should be able to:

  • Describe the role of the medical emergency team
  • Recognise potential medicine causes for patient deterioration
  • Describe advanced life support
  • Discuss medicines used in advanced life support.

Competency (2016) standards addressed: 1.1, 1.4, 1.5, 2.2, 3.1, 3.2, 3.5 

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Introduction

It is an Australian healthcare standard that all Australian hospitals have processes to identify, respond to and manage patients with an acute clinical deterioration, with the goal of reducing in-hospital cardiac arrest and mortality

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