You are tasked to a 53 yo male with increasing shortness of breath

CaseYou are tasked to a 53 yo male with increasing shortness of breath
AssessmentPatient is pale cool, clammy, looking fatigued and unwell, DizzyRR 28, SpO2 95%, BP 180/110, HR 75, Cap refill >3 secs,ECGSevere Hyperkalaemia ECGEyes, Pale conjunctiva, pupils EARRL size 2 sluggish, peri-orbital oedemaLungs – bibasilar crepitations,Normal heart soundsAbdo distended, extremities pitting oedema to the sacrum,
PMHxNil allergiesEnd stage renal disease on haemodialysis x 3/week, HT, Diabetes, Hyperlipidaemia, Coronary artery disease, asthmaMedications – lisonopril, glargine, novorapid (Sliding scale), aspirin, simvastatin, salbutamol, breo, hydrocortisone cream,FHx – HT, diabetes, CADSocial history – smoker, occasional EToH, no recreational drugs
What do you know about the patient? What is the key information? What do you still need to find out?
Outline 3 provisional diagnoses.
Discuss your final diagnosis and the pathophysiology behind the diagnosis.
Discuss the implications for paramedic practice.
Reference List