David Marks Staff asked 5 years ago

Liver Cirrhosis

Case Study with patient details Patient Information for Case Study 70 year old admitted due to knee and right hip pain. Presents with swollen oedema right and left legs. Fluid overload secondary to chronic fatty liver cirrhosis. Tests Ordered Blood Tests Liver Function, FBE, FES, TFY, CRP, MBI Full blood exam – Mild Lymphopenia, Moderate anaemia thrombocytopenia. Liver Function enzymes consistent with mild focal cholestasis. Low Albumin due to inflammation chronic liver disease. CT Scan of right hip Signs of Osteoarthritis Xray Spine Pelvis Right hip No Fracture Dislocation or Subluxation Pre existing conditions – Peptic Ulcer – Hypothyroidism – Hypertension – Pulmonary Hypertension – Obesity (122kg) Current Medication Bisoprolol 2.5mg Daily Esomeprazole 20mg NOCTE Frusemide 80mg MARE Simcastatin 40mg Daily Thyroxine 200mg Daily Ramipril 10mg Daily Slow K 1 Daily Ferrous Sulfate Liq 150ml NOCTE Metformin 2g Daily Spironoloctone 25mg Twice Daily Diagnoses Patient was diagnosed with type 2 diabetes, low iron, Tubular adenoma and cirrhosis of liver. Fluid overload secondary to cirrhosis. Monitoring for CCF and diuretic treatment. ? The case study must be presented in assignment format including an introduction, body and conclusion with referencing based on the Harvard Referencing style. All of the following points must be discussed within a 1000 word limit. 1. Provide a detailed history of the patient’s existing condition/s, including: a. The pathophysiology of the condition/disease b. The clinical manifestations the patient exhibited including both subjective and objective data 2. Identify and explain the rationale for any diagnostic tests ordered 3. Identify the medications the patient has been prescribed to treat/manage the condition/disease. 4. Explain the action of each of these medications, linking the therapeutic effect of the medications with the pathophysiology of the patient’s condition/disease. 5. Identify and explain the rationale behind the nursing interventions required to monitor for the potential side effects of each medication.

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