Personal Practice of Case Study

Added on - 22 Jul 2020

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Personal practiceof case study
Table of ContentsA. Pathophysiology of each primary diagnosis...........................................................................3B. Interventions and assessment of 27 patients.........................................................................7C. Diagnosis of 27 patients.......................................................................................................12D. What types of medications will be given to each diagnosis?...............................................15E. What nursing care should be provided when certain medications are given?......................16F. What pathology/laboratory test results should be monitored and checked when certainmedications are given?..............................................................................................................19G. Identify three most relevant complications of each diagnosis?............................................19
A. Pathophysiology of each primary diagnosis1.THR d/t recurrent dislocation-Humerus separates from scapula2.PneumoniaPathogen reaches alveoliInflammation of air sacs3.Fall-Not copingRisk factors provide opportunity to fallAge-associated changes in strength and balance4. COPD-Production of more mucusInflammation of bronchioles and their subsequent narrowingLess oxygen reaches capillariesExhalation of less carbon dioxide5. Diabetic ketoacidosisBlood Tests·Insulin deficiencyIncrease in counter regulatory hormoneHormonal imbalance leading to hepatic glucogenesis and lipolysisHyperglycemiaAccumulation of acidic intermediates and end metabolites.Ketones overflow in urine when they exceed the body’s capacity to extractChest X-ray6. Functional decline:Changes at the tissue level is identifiedChronic low-grade inflammatory activityMalnutrition,aging and immobilization7. Diarrhoea:Increase in the volume stoolgastrointestinal disease reflect primary disordersincrease use of methotrexate1
Raynaud's disease:Intense vasospasm with associated color changeMost susceptible to cold injury.Commonly affect nose,toes and ears.8. SclerodermaChange in the expression of DNA and micrRNA.Severe fibroproliferative vascular lesions of small arteriesAlterations of humoral and cellular immunity.9. COP:Influenza:Chronic inflammation of the airways,lung tissuesCauses inflammatory cells such as neutrophilis ,B-cells.Lead to damage of tissues and a range of other effects.Influenza:All avian influnza infectionsHemagglutinin and neuraminidase are crtical for virulenceAllowing cellular infections10. Pneumonia:Causes for pneumonia can be intrinsic or extrinsicExposure to causative agent,pulmonary irritants etc.Altered mental status due to intoxization11. Hypercholestrolaemia:Consequences of abnormal lipoprotein metabolismReduction of LDL receptor expression or activitiesRisk factor for the development of atherosclerosis.12. Type 2 diabetes mellitus:Heterogeneous disorderInsulin resistanceImapired regulation of hepatic glucose productiondeclining b-cell13. Acute haemorrhagic stroke:Occurrence of bleeding directly into the brain parenchyma2
Leakages from small intracerbral arteries damaged by chronic hypertensionCerebral amyloidosis and cocain abuse14. Glaucoma:Level of intraocular pressure is related to retinal ganglion cell deathDetermination of intra-ocular pressureIncreased resistance to aqueous outflow15. Delirium:Based on level of psychomotor activityhyperactive delirium is observedPresent with lethargy,drowsiness ,apathy16. Dysphagia:Associated with respiratory disorderIncreased risk of aspiration pneumonia.17. NSTEMI (Non ST segment elevation myocardial infraction):A persistent occlusion of a large epicardial cronary arteryrisk to area of myocardium and severe chest pain18. EXAC COPD:Increase number of macrophages and CD8 T lymphocytesViral and bacterial infections19. Type 2 diabetes mellitus:Heterogeneous disorderInsulin resistanceImpaired regulation of hepatic glucose productiondeclining b-cell20. COAD:Mantle Cell Lymphoma: Lymphoproliferative disorderAssociated with chromosome translocation .Involvement of immunoglobulin heavy chain gene.21. Mantle Cell Lymphoma:Lymphoproliferative disorderAssociated with chromosome translocation .3
Involvement of immunoglobulin heavy chain gene.22. Decompensated cardiac failure:Not copying23. Delirium:Based on level of psychomotor activityhyperactive delirium is observedPresent with lethargy,drowsiness ,apathy24. Influenza A:All avian influnza infectionsHemagglutinin and neuraminidase are crtical for virulenceAllowing cellular infections25. Pneumonia:Causes for pneumonia can be intrinsic or extrinsicExposure to causative agent,pulmonary irritants etc.26. EXAC COPD:Increase number of macrophages and CD8 T lymphocytesViral and bacterial infections27.Nausea :A threshold for nauseaDepends on the interaction of certain factorsStimuli giving rise to nausea4
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