Mrs Dory Finn is a 36 year
Mrs Dory Finn is a 36 year old woman. She has been diagnosed with an endocrine condition. Recently she has experienced difficulty sleeping, heart palpitations, increased sweating, been irritable with friends and family and has been worried about her irregular menstruation of last couple of months. Prior to going in to see Mrs Finn, you need to brush up on your knowledge about her condition. Qu1) of signs/symptoms, what condition is Mrs Finn experiencing and what is the most common cause of it? (1 mark). Qu2) In your own words and in a sentence or two, briefly explain your understanding of the pathophysiology of this condition (up to 2 marks). Qu3) Mrs Finn is currently at risk of increased or decreased cardiac output? Briefly explain your choice (up to 3 marks). Qu4) Identify one (1) nursing care you could implement for your previous answer and a rationale (why). (up to 3 marks). You have been asked to relieve your colleague whilst they go on break. You were provided with a brief handover of this patient – 61 year old Robert Bobbit who has been in hospital for some time with a Streptococcus infection. Today he is short of breath, tachypnoeic and feeling generally weak, constantly nauseous and has a headache. Mr Bobbit has been passing only 150-300ml of urine per day, has developed oedema in his hands and legs, his potassium levels are 5.8mmol/L and the doctor is concerned about his decreasing red blood cell count. The doctor has just been in with Mr Bobbit and advised him that his Streptococcal infection is the cause of his acute kidney injury. The differential diagnosis is acute glomerulonephritis. Qu1) What is it about this condition that is causing the poor kidney perfusion? (1 mark) Qu2) What phase of AKI is Mr Bobbit in? (1 mark) Qu3) Nursing care: Please identify 2 nursing problems/diagnosis regarding Mr Bobbit today. Ensure in your answer you provide your nursing intervention, rationale (why) and your expected outcome. (6 marks) Mr Norm Yawn has returned to the community clinic today after some preliminary bloods were done recently. He continues to feel generally unwell, has been feeling weak, bloated and is now constipated, not having opened his bowels for a couple of days. You have looked up Mr Yawn’s lab results and note that his potassium level is 3.2 mEq/L. You have liaised with the doctor about this also. You consider your knowledge… Qu1a) What deficiency is Mr Yawn suffering from? (1 mark) Qu1b) Please discuss the pathophysiology linking Mr Yawn’s symptoms to this condition (up to 3 marks). Qu1c) What treatment is likely to be considered for Mr Yawn? (1 mark) Jasper Caspa, a 45 year old gentleman has been bought in bought by ambulance with severe, crippling right-sided pain; he was given analgesia for “10/10” pain enroute. You attend Jasper and do a brief assessment/interview prior to him seeing the doctor and note the following: he is overweight, indulges in alcohol 5 nights per week and has a diet of meat, and seafood every night. Jasper estimates he drinks up to 1L of fluid per day. In the last week he has been experiencing a persistent right sided “cramp” and a stomach ache. He awoke this morning at 0400 with severe pain to his right side which has now moved into his groin area; he is pale and vomiting. The doctor has provided a differential diagnosis of urinary calculi. Medical history: diabetes, hypertension, broken ankle 5 years ago. Family history: (Father) gout, heart disease, asthma. (Mother) diabetes, hypertension. Qu. 1) Demonstrate your knowledge of pathophysiology by linking this diagnosis of Urinary Calculi with Jasper’s symptom/s. (up to 3 marks) Qu. 2) Which stone type of urinary calculi is Jasper likely suffering from? (1 mark) Is there any education you might provide to Jasper based on this? (2 mark) Qu. 3) Jasper is further prescribed non-steroidal anti-inflammatory drug (NSAIDs) Ibuprofen 400mg. Explain your understanding of how this works in the body, specific to the diagnosis offered, to relieve the patient’s symptoms (up to 4 marks)
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