Clinical Case Decisions
CLINICAL CASE DECISION INSTRUCTIONS
:
SELECT TWO CASES FROM THE FOLLOWING.
Your comments should be substantive and substantiated. Postings require two citations from 1 scholarly journal and 1 from the course textbook.
To gain full credit for the assignment, each case must be at least 1 page, but no more than three (3) pages in length. The title and reference pages are NOT included in this count.
APA format required- proper citations and references.
Select two cases for this assignment.
Clinical Decision Cases
There are five cases listed below; begin with a focused exam assessment, you decide if it should be treated as episodic with rationale for each case. Each area should be under a separate heading.
Select two cases to provide analysis. All cases should include the following, use a heading for each topic.
a. Pathophysiology and pharmacology of the disease-Heading
b. Expected signs and symptoms of the disease.-Heading
c. Nursing Diagnosis with a plan of care. Heading required
d. All questions pertaining to the case as listed under each case. Heading required
C1. Mr. Appel has a severe chronic obstructive pulmonary disease (COPD). He is admitted to the hospital with a respiratory infection and increased dyspnea; yellow, purulent sputum; anxiety; and diaphoresis. He states he feels weak and tired. He routinely takes a diuretic (furosemide) and his pulmonary medications. The following laboratory values are obtained:
Arterial blood gases:
pH 7.25 Serum sodium (Na+) 140 mEq/L
PaO2 60 mmHg Serum potassium (K+) 2.0 mEq/L
PaCO2 78 mmHg Serum chloride (Cl) 105 mEq/L
HCO3 34 mEq/l
a. What type of electrolyte imbalance does Mr. Appel have?
b. Interpret his ABGs.
C2. Mr. Jones is admitted to the hospital with an exacerbation of heart failure. He has +3 peripheral edema of the lower extremities.
a. What are the possible causes of his peripheral edema?
C3. Carl is a 15-year-old admitted to the hospital following a closed head injury during a motor vehicle crash. He is diagnosed with syndrome of inappropriate anti-diuretic hormone (SIADH).
a. You would monitor him for what signs and symptoms?
C4. Identify the intracellular and plasma buffer systems and discuss how they function.
C5. Ms. Brown is a 70-year-old woman with type 2 diabetes mellitus who has been too ill to get out of bed for 2 days. She has had a severe cough and has been unable to eat or drink during this time. On admission, her laboratory values show the following:
Serum glucose 412 mg/dl
Serum sodium (Na+) 156 mEq/l
Serum potassium (K+) 5.6 mEq/l
Serum chloride (Cl) 115 mEq/l
Arterial blood gases (ABGs):
pH 7.30; PaCO2 32 mmHg; PaO2 70 mmHg; HCO3 20 mEq/l
a. What type of water and solute imbalance does Ms. Brown have?
b. What do her ABG results indicate?
c. Does she have an anion gap and what does this indicate?
Collepals.com Plagiarism Free Papers
Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.
Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS
Why Hire Collepals.com writers to do your paper?
Quality- We are experienced and have access to ample research materials.
We write plagiarism Free Content
Confidential- We never share or sell your personal information to third parties.
Support-Chat with us today! We are always waiting to answer all your questions.
