Outline the causes, incidence and risk factors of the identified condition and how it can impact on the patient and family (400 words)
Nursing Case Study Assignment Help-NRSG353 Assessment Task 2-The following questions relates to the patient within the first 24 hours:1. Outline the causes, incidence and risk factors of the identified condition and how it canimpact on the patient and family (400 words)2. List five (5) common signs and symptoms of the identified condition; for each provide alink to the underlying pathophysiology (350 words)a. This can be done in the form of a table – each point needs to be appropriatelyreferenced3. Describe two (2) common classes of drugs used for patients with the identified conditionincluding physiological effect of each class on the body (350 words)a. This does not mean specific drugs but rather the class that these drugs belong to.4. Identify and explain, in order of priority the nursing care strategies you, as the registerednurse, should use within the first 24 hours post admission for this patient (500 words).Instructions:• Students are to choose one (1) of the case studies below and answer the associatedquestions. The assignment is to be presented in a question/answer format not as anessay (i.e. no introduction or conclusion).• Each answer has a word limit (1600 in total); each answer must be supported withcitations.• A Reference List must be provided at the end of the assignment.• Please refer to the marking guide available in the unit outline for further information.Case Study 2Ms Maureen Smith is a 24 year old female who presented to her GP for ongoinggastrointestinal bleeding, abdominal pain and fatigue which has been worsening, and wasreferred to the local hospital for further investigation.Maureen was diagnosed with rheumatoid arthritis (RA) when she was 15 years old, and hasexperienced multiple exacerbations of RA which have required the use of high dosecorticosteroids. She is currently taking 50mg of prednisolone daily, and has been taking thisdose since her last exacerbation 2 months ago.Maureen also has type 2 diabetes which is managed with metformin. She is currentlystudying nursing at university and works part-time at the local pizza restaurant.On assessment, Maureen’s vital signs are: PR 88 bpm; RR 18 bpm; BP 154/106 mmHg; Temp36.9ºC: SpO2 99% on room air. She has a body mass index (BMI) of 28kg/m2 and the fat ismainly distributed around her abdominal area, as well as a hump between her shoulders.Maureen’s husband notes that her face has become more round over the past few weeks.Her fasting BGL is 14.0mmol/L. Blood test results show low cortisol and ACTH levels, andhigh levels of low density lipoprotein cholesterol. She is awaiting a bone mineral density testthis afternoon, and is currently collecting urine for a 24-hour cortisol level measurement.Impression: Cushing’s syndrome
Case Study 1Mrs Sharon McKenzie is a 77 year old female who has presented to the emergencydepartment with increasing shortness of breath, swollen ankles, mild nausea anddizziness. She has a past history of MI at age 65. During your assessment Mrs McKenziereports the shortness of breath has been ongoing for the last 7 days, and worsens whenshe does her gardening and goes for a walk with her husband.On examination her blood pressure was 170/110 mmHg, HR 54 bpm, respiratory rate of30 bpm with inspiratory crackles at both lung bases, and Sp02 at 92% on RA. Her fingersare cool to touch with a capillary refill of 1-2 seconds. Mrs McKenzie states that this isnormal and she always has to wear bed socks as Mr McKenzie complains about her coldfeet.Her current medications include: digoxin 250mcg daily, frusemide 40mg BD, enalapril 5mgdaily, warfarin 4mg daily but she sometimes forgets to take all of her medications.The following blood tests were ordered: a full blood count (FBC), urea electrolytes andcreatinine (UEC), liver function tests (LFT), digoxin test, CK and Troponin. Her potassiumlevel is 2.5mmol/L.Mrs McKenzie also has an ECG which showed sinus bradycardia, and a chest x-rayshowing cardiac enlargement and lower-lobe infiltrates.Impression: Congestive cardiac failure
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