62y · Male·urosepsis
… stone on CT scan, and underwent emergency surgery. Post-operatively he developed acute renal failure, hypernatremia, and urosepsis despite ICU care. After discussion with family regarding poor prognosis, he transitione…
62y · Female·Aspiration pneumonia secondary to cerebral palsy
…pecialist disability accommodation, died from aspiration pneumonia with acute kidney injury and severe hypernatremia. She was admitted to Werribee Mercy Hospital with pneumonia, initially improved with antibiotics and I…
59y · Male·Combined effects of acute on chronic pneumonia and pulmonary thromboembolism
…swallowing dysfunction. During his final admission, recurrent aspiration despite naso-gastric feeding, hypernatremia, and cachexia complicated his course. The coroner found no evidence of substandard care. Clinical less…
93y · Female·dehydration with hypernatremia and acute renal failure with metabolic acidosis
…n Nockolds, a 93-year-old woman with vascular dementia living in aged care, died from dehydration with hypernatremia and acute renal failure. She suffered a transient ischaemic attack on 8 July 2015, followed by a fract…
63y · Male·Aspiration pneumonia in the setting of functional decline in a man with an intel…
…wing functional decline. He had a three-month hospital admission with multiple complications including hypernatremia, recurrent desaturation, and aspiration events. Clinically, earlier recognition of his progressive fun…
73y · Female·Pneumonia (palliated)
…ff noted lethargy and called emergency services; she was transported to hospital where dehydration and hypernatremia were identified with radiological evidence of pneumonia. Comfort care was implemented following discus…
64y · Female·Complications of hospital acquired pneumonia and COVID-19 infection
Heather Maree Smith, a 64-year-old woman with severe cerebral palsy and multiple comorbidities residing in specialist disability accommodation, died from complications of hospital-acquired pneumonia and COVID-19 infectio…
43y · Female·Severe diffuse hypoxic brain injury caused by administration of supratherapeutic…
…er 1180-1600 mmol was administered (1.8-3 times the maximum recommended 660 mmol dose), causing severe hypernatremia (peak 169 mmol/L), metabolic alkalosis, and hypokalaemia. Brain swelling and death resulted. The consu…
66y · Male·Complications of chronic lithium therapy
Sydney Kennedy, a 66-year-old man with intellectual disability and bipolar affective disorder, died from complications of chronic lithium therapy. He had been on lithium for years with annual psychiatric review, but ther…
63y · Male·Right cerebral infarction caused by infusion of medication via central venous li…
…ent emergency hemicolectomy for caecal volvulus. Post-operatively he developed respiratory depression, hypernatremia and alcohol withdrawal requiring benzodiazepines and BiPap support. A central venous line was inserted…
81y · Male·Massive right cerebral haemorrhage due to hypertensive heart disease
An 81-year-old man with multiple comorbidities (diabetes, cardiovascular disease, chronic kidney disease, congestive heart failure) died from a massive cerebral haemorrhage due to hypertensive heart disease while in hosp…
67y · Female·choking and ischaemic heart disease
…The Queen Elizabeth Hospital from choking and ischaemic heart disease. She was admitted with delirium, hypernatremia, and multiple comorbidities including COPD and sleep apnoea. While eating breakfast on day 3 of admiss…
55y · Male·Bronchopneumonia in a man with functional decline and trisomy 21
Trevor Bayldon, a 55-year-old man with Down syndrome, dementia, and epilepsy, died from bronchopneumonia at St Vincent's Hospital. He presented with respiratory distress and altered consciousness after functional decline…
39y · Female·Respiratory failure in the setting of aspiration pneumonia in a woman with arthr…
Nicole Kateiva, a 39-year-old woman with arthrogryposis multiplex congenita, intellectual impairment, and epilepsy, died from respiratory failure due to aspiration pneumonia. She presented to hospital with two days of co…
94y · Female·Complications of metastatic lobular carcinoma of the breast in a woman with deme…
A 94-year-old woman with advanced dementia and metastatic breast cancer died from complications of her malignancy. She presented repeatedly with vomiting due to duodenal obstruction from metastatic tumour, but this was n…
7y · Female·Pneumonia complicating a viral respiratory illness with acute combined drug effe…
Child ML, aged 7, died of pneumonia complicating viral respiratory illness with acute combined drug effect. She had severe cerebral palsy with complex care needs including PEJ tube feeding and multiple medications. At th…
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