Deceased
Steve Stan Peter Duszynski
Demographics
66y, male
Date of death
2018-06-27
Finding date
2020-07-14
Cause of death
Bronchopneumonia and influenza A complicating cardiac and renal failure associated with mesangiocapillary glomerulonephritis complicating non-Hodgkin's lymphoma
AI-generated summary
A 66-year-old man with cryoglobulinaemic vasculitis secondary to non-Hodgkin's lymphoma died from bronchopneumonia and influenza A complicating cardiac and renal failure. He developed delirium, agitation and paranoia during his final admission, requiring an Inpatient Treatment Order. He received intramuscular olanzapine and opioid analgesia for behavioural management and pain. Clinical lessons include: recognising that hypoxia and CNS vasculitis can cause delirium in complex medical patients; considering respiratory depression risk when combining sedating medications in patients with compromised respiratory function; ensuring close monitoring of oxygen saturations and respiratory rate when medications with respiratory depressant potential are administered; and early recognition of occult infections like bronchopneumonia which may present atypically in unwell patients. The coroner found no criticism of medical management.
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Specialties
Error types
Drugs involved
Clinical conditions
Procedures
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