{"id":7181,"date":"2021-05-07T16:26:53","date_gmt":"2021-05-07T06:26:53","guid":{"rendered":"https:\/\/casestudyhelp.com\/sample-questions\/?p=7181"},"modified":"2021-05-07T17:09:35","modified_gmt":"2021-05-07T07:09:35","slug":"nursing-management-of-patient-with-laennecs-cirrhosis-case-study-analysis","status":"publish","type":"post","link":"https:\/\/casestudyhelp.com\/sample-questions\/nursing-management-of-patient-with-laennecs-cirrhosis-case-study-analysis\/","title":{"rendered":"Nursing Management of Patient with Laennec’s Cirrhosis Case Study Analysis"},"content":{"rendered":"

Nursing Management Case Study Analysis:\u00a0Laennec\u2019s Cirrhosis<\/strong><\/h2>\n

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Case Study: Laennec\u2019s Cirrhosis<\/strong><\/td>\n<\/tr>\n<\/thead>\n
Ms. Janet Brook<\/td>\nDate of Birth: 12\/20\/1966<\/td>\nHome Phone: (111) 111-1111<\/td>\n<\/tr>\n
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ADMISSION DIAGNOSIS<\/strong>:\u00a0 Laennec\u2019s cirrhosis<\/td>\n<\/tr>\n
Chief Complaint: Increasing Shortness of BreathMs. Janet Brook, was admitted with the diagnosis of Laennec\u2019s cirrhosis. During report at 3:00 pm you find that she is jaundiced, has ascites, and is experiencing increasing SOB. Vital signs at 1:30 pm were T. 99 P. 94 R 34 B\/P 140\/90. The vital signs are consistent with previous recordings. You get out of report at 3:30 pm.<\/td>\n<\/tr>\n
<\/td>\n\u00a0<\/strong><\/td>\n<\/td>\n<\/tr>\n
MEDICATION\/FOOD ALLERGIES: <\/strong><\/td>\nPenicillin<\/td>\n<\/td>\n<\/tr>\n
CURRENT MEDICATIONS:<\/strong><\/td>\n\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Amphogel 30 cc poqid\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Furosemide 40 mg IV qd<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Aldactone 50 mg po bid.<\/td>\n

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SUBJECTIVE\/OBJECTIVE DATA: Per outgoing nurse<\/strong> <\/p>\n

Increasing shortness of breath<\/p>\n

No complaints of chest pain<\/p>\n

C\/O Constipation<\/p>\n

Mild abdomen distention<\/p>\n

She has no ankle swelling or edema noted.<\/p>\n

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Heart :normal S1 and S2 with a rate of 94.<\/p>\n

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Lungs: clear.<\/p>\n

Skin : Jaundice, Ascites<\/p>\n

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There is no peripheral edema.<\/p>\n

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Orders<\/strong>Parencentis scheduled for 1630 hrs<\/p>\n

VS q 4 hrs<\/p>\n

Neuro checks q 4 hrs<\/p>\n

CBC, serum ammonia, AST, ALT, PT today(Labs drawn during first shift)<\/strong><\/p>\n

Saline Lock<\/p>\n

Bedrest with bathroom privileges<\/p>\n

Weigh Daily<\/p>\n

Measure abdominal girth daily<\/p>\n

Diet CHO, 30 g. Protein, 2g Na<\/td>\n<\/tr>\n

VITALS SIGNS<\/strong><\/td>\n<\/tr>\n
BP:\u00a0 140\/92HR: 94RR: 34\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 T: 99PULSE OX:\u00a0 90%<\/td>\n<\/tr>\n
Patient is divorced.Lives with 2 teenage children 15 (daughter) and 17 (son).<\/td>\nLab results 1500 hrs<\/strong>PT 40 sec<\/p>\n

WBC 3500\/mm3<\/p>\n

AST 100U\/L<\/p>\n

Serum Ammonia 70ug\/dl<\/p>\n

Platelets 100,000\/mm3<\/p>\n

ALT 500U\/L<\/p>\n

Hgb 10.6g\/dl<\/p>\n

Hct. 30%<\/td>\n<\/tr>\n

PAST MEDICAL HISTORY<\/strong><\/td>\n<\/tr>\n
Type 2 Diabetes MellitusAlcohol Abuse <\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

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