Abnormal Values Discussion 7
Case State of affairs:
Carmelita Gomez, age eight, is delivered to the Youngsters’s Clinic by her mom as a result of she is nauseated and has vomited 3 times up to now 24 hours. Her urine has turned “tea coloured”. Carmelita is torpid and he or she is complaining of diffuse belly ache. Ten days in the past she had a sore throat and fever and stayed dwelling from faculty for 2 days. She was not seen by a well being care supplier at the moment. Upon questioning, Carmelita can not bear in mind needing to urinate up to now 12 hours. On examination, Carmelita is irritable and listless. She has slight periorbital edema. Carmelita has energetic bowel sounds with no palpable belly lots, however she is tender in all 4 quadrants. Carmelita is given a presumptive prognosis of poststreptococcal glomerulonephritis (PSGN), pending laboratory assessments.
Her laboratory values are:
Serum creatinine: 2.three mg/dL
BUN 26.1 mg/dL
Serum sodium: 142 mEq/L
Potassium four.2mEq
Particular gravity 1.025
Phosphorous: 6.three mEq/dL
Calcium: 7 mEq/dL
UA: hematuria four+, purple cell casts
Antistreptococcal antibody titre: 800U
POINTS TO PONDER:
Which lab values are irregular?
What scientific manifestations correspond to the irregular values?
Describe the modifications (pathophysiology) within the physique inflicting every irregular worth and hyperlink the worth to a scientific manifestation current within the affected person?
Which values are inside regular limits?
What nursing care must be applied?
Present one nursing prognosis acceptable to this affected person.
Studying
Urinalysis p.1146 (Leeuwen, pg. 546-552)
Tradition p.230
Kidney stone Assessment p.696 (Leeuwen, pg. 61,265,426,444)
Case Examine Rubric
Standards
Abnormal Values
What do the labs point out particular to this affected person
values and indicators and signs
The connection between the irregular Indicators & Signs and lab values is clearly demonstrated. **Have to be particular**
Pathophysiology used to exhibit connections between lab outcomes, manifestations and illness course of.
Anticipated care to be given for exhibited s/s and lab values. Anticipated correction of lab values based mostly on care given. Affected person training to forestall recurrence of irregular lab values.
High quality
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Discussion of Abnormal Values 7
Discussion of Abnormal Values 7
Contemplate the next situation:
Carmelita Gomez, eight, is taken to the Youngsters’s Clinic by her mom as a result of she is sick and has vomited 3 times within the final 24 hours. Her urine has grow to be “tea coloured.” Carmelita is sluggish and complaining of diffuse belly ache. She had a sore throat and fever ten days in the past and missed two days of college. On the time, she was not seen by a well being care supplier. Upon questioning, Carmelita can not bear in mind needing to urinate up to now 12 hours. On examination, Carmelita is irritable and listless. She has slight periorbital edema. Carmelita has energetic bowel sounds with no palpable belly lots, however she is tender in all
