Nursing Care Plan
CASE STUDY
IN
NCM-103
(CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID
AND ELECTROLYTE BALANCE, NUTRITION AND METABOLISM
AND ENDOCRINE)
Submitted to :
Mr. Darren N. Constantino
Submitted by :
Olive Keithy Ascaño
CASE STUDY 1
1.
a. The possible fluid and electrolyte imbalances that the 78-year-old woman may experience are hyponatremia, hypokalemia and hyperkalemia because of nausea and vomiting that are common in these imbalances.
b. The following interventions are appropriate to decrease the patient’s problem :
• Assess for the factors that may lead to excess or deficit of a specific electrolyte or fluid
• Monitor intake and output of the patient
• Teach patient and family about the type, cause, and treatments for electrolyte imbalance, as appropriate.
• Provide diet appropriate for patient's electrolyte imbalance (e.g., potassium-rich, low-sodium, and low-carbohydrate foods)
• Administer IV fluids as indicated
2.
a. Data that are most relevant to the case and situation of the patient include weight gain of 12 ibs, blood pressure of 150/88 mm Hg and bilateral ankle edema. The possible cause of the the patient’s symptoms include underlying causes like kidney diseases, renal ischemia or heart failure, obesity or being overweight, old age, varicosities and tight clothing.
b. These are the nursing priorities in the management of the patient’s bilateral ankle edema :
• Administer diuretics
• Limit fluid intake
• Restrict foods rich in sodium
• Elevate the patient’s legs without causing pressure
• Use compression socks or hosiery to help poor circulation in the legs
CASE STUDY 2
1.
a. The type of acid-base imbalance that would be most likely to develop is Respiratory Alkalosis.
b. The causes of Respiratory Alkalosis are head injury, stroke or brain hemorrhage that results to hyperventilation or breathing so fast that he depletes a majority of the carbon dioxide in his system causing an acid-base
IN
NCM-103
(CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION, FLUID
AND ELECTROLYTE BALANCE, NUTRITION AND METABOLISM
AND ENDOCRINE)
Submitted to :
Mr. Darren N. Constantino
Submitted by :
Olive Keithy Ascaño
CASE STUDY 1
1.
a. The possible fluid and electrolyte imbalances that the 78-year-old woman may experience are hyponatremia, hypokalemia and hyperkalemia because of nausea and vomiting that are common in these imbalances.
b. The following interventions are appropriate to decrease the patient’s problem :
• Assess for the factors that may lead to excess or deficit of a specific electrolyte or fluid
• Monitor intake and output of the patient
• Teach patient and family about the type, cause, and treatments for electrolyte imbalance, as appropriate.
• Provide diet appropriate for patient's electrolyte imbalance (e.g., potassium-rich, low-sodium, and low-carbohydrate foods)
• Administer IV fluids as indicated
2.
a. Data that are most relevant to the case and situation of the patient include weight gain of 12 ibs, blood pressure of 150/88 mm Hg and bilateral ankle edema. The possible cause of the the patient’s symptoms include underlying causes like kidney diseases, renal ischemia or heart failure, obesity or being overweight, old age, varicosities and tight clothing.
b. These are the nursing priorities in the management of the patient’s bilateral ankle edema :
• Administer diuretics
• Limit fluid intake
• Restrict foods rich in sodium
• Elevate the patient’s legs without causing pressure
• Use compression socks or hosiery to help poor circulation in the legs
CASE STUDY 2
1.
a. The type of acid-base imbalance that would be most likely to develop is Respiratory Alkalosis.
b. The causes of Respiratory Alkalosis are head injury, stroke or brain hemorrhage that results to hyperventilation or breathing so fast that he depletes a majority of the carbon dioxide in his system causing an acid-base