Cystic Fibrosis Case Study Forum Case Study

Cystic Fibrosis Case Study Forum Case Study Questions: Cystic Fibrosis Case Study Forum J.R. is a 13-year-old adolescent diagnosed with cystic fibrosis (CF) who is being seen in the outpatient clinic for biannual evaluation. He lives in the house with his parents and has a sister C.R. 7-year-old who also has cystic fibrosis. J.R. reports that she has not been feeling well, has no energy, is coughing more, and has difficulty breathing. He explains that he has been away from school for a week. Questions: 1. Discuss what additional data nursing should obtain from J.R. and his parents. 2. Briefly describe the condition and physiological effect on the following systems: – respiratory – gastrointestinal – player – skin – electrolyte balance 3. Identify the factors that put J.R. at risk for developing respiratory infections. 4. Discuss the ethical and social principles that may be affected by the patient’s chronic condition as he progresses through the various stages of growth and development. Case study progress: J.R. is later admitted to the hospital for suspected respiratory infection and exacerbation of CF. His estimate includes vital signs: BP 115/76, P 85, R 28, and Temp. 101.8oF (38.8oC). Sat. O2: 88% in ambient air. Weight: 30 KG, Color: pale and dry skin with cyanotic fingernails and drum fingers. 3-second capillary refill. Labored breathing, productive cough, snoring, pain scale 3 – 4 (scale 10) when coughing. The barrel-shaped chest appears thin with decreased muscle mass. Urinary and fecal elimination in the morning without a problem. Anxious patient and answers the questions in short sentences. 5. Indicate abnormal findings in the electronic record with an X mark and provide a short nursing note in narrative format. â–¡ Neurological: â–¡ Respiratory: â–¡ Cardiovascular: â–¡ Gastrointestinal: â–¡ Genitourinary: â–¡ Musculoskeletal: â–¡ Skin: â–¡ Psychosocial: â–¡ Pain: Nursing Narrative Note: ____________________________________ _________________________________________________________________ _________________________________________________________________ 6. What is the most common microorganism that causes respiratory infection in children with CF? ____________________ Physician orders: – ceftazidine (Fortaz) 2 G IV q 8h – Gentamicin (Gentak) 100 mg IV q 8h – Vancomycin (Vancocin) 450 mg IV q 8h 7. Are the prescribed doses in the safe ranges? Comment on each medication, and the dosage and justify with information from a reference book on nursing medications. 8. After treatment, the child improves and is discharged. Discuss aspects of health promotion to prevent worsening of the condition that should be emphasized with the parents of J.R. SCIENCE HEALTH SCIENCE NURSING NURSING BS ENF 402

******CLICK ORDER NOW BELOW AND OUR WRITERS WILL WRITE AN ANSWER TO THIS ASSIGNMENT OR ANY OTHER ASSIGNMENT, DISCUSSION, ESSAY, HOMEWORK OR QUESTION YOU MAY HAVE. OUR PAPERS ARE PLAGIARISM FREE*******."