Question

care plan

Patient Initials: C.M
Patient Medical Diagnosis: Cystic Fibrosis

Assessment:

Subjective: Patient states for the past 4 days he has been coughing constantly, producing “gross-looking phlegm” but cannot seem to cough it up, and has not be able to participant in gym class at school. He states that it has gotten worse because he is now having problems walking short distances because he gets short of breath easily.

Objective: The patient’s vital signs are: BP 130/80, HR 105, Temp. 100.5 degrees F, blood glucose 90, Oxygen saturation 92% on 3.5 L nasal cannula, and respiratory rate 21.

Laboratory Data: BC count 0.441, RBC count 0.2, Lymphocytes 27.61,Platelet count 3.023, Neutrophils, 2.028, Basophils 0.02, Eosinophils 0.03, Monocytes 20.70, Hemoglobin 3.81, Hematocrit 3.80, CO2 32.10, Creatinine 24.00, Sodium 0.89, Potassium 0.07, Urea nitrogen 9.13, Total bilirubin 12.41, ALT 2.216, AST 0.811. Sweat Chloride Values: >60 mmol/L

Medication Preparation Log for C.M Room 921 Code Status: Full Code Allergies: NKA

Drug: acetylcysteine (generic)

Drug: dornase alfa (Pulmozyme)

Drug: albuterol (Proventil, Ventolin)

Answer 1

cystic fibrosis Cystic fibrosis is a serious genetic condition [& inherited direase] that can cause severe damage to the respiratory and digestive systems. In this condition Thick and sticky mucus produces in the sigans. In cystic fibrosis the mostly affected szans are Lungs, pancreas, liven, Intestines. cystic fibrosis affects the cells which produce sweat, mucus, and digestive enzymes. The're fluid become thick and sticky and can clog the ducks, tubes and passageways in the body Cystic fibrosis can leads to many life threatening problems, including many infections, respiratory failure, Anaemia, and Malnutrition.

Diagnolet " anoatic criteria blood sample. IR caned for higher than normal Can released by pancreas leved & chemical & swea - weat chloride 3) genetic test gland beating 4) Respirator flerid analysis 5) Nasal potential difference teet Nunting care plan rondst to - Maintaining adequate oxygenation, recommended measures to remove pulmonary secorations, Advice adequat fluids and dietary intake, ensuring adequall neutuction and prevent Complications * Monitor respiratory status at regular intervals and provide chest physiotherapy, provide oxygen

therapy as indicated of provide effective coughing and airway clearance techniques. & Make patient aware about the disease' Explain paognois. evaluation x chest physiotherapy * Improve physical exercise to I improve of regular functione. te & counselling and education I al Surgical and other procedures 2 like, Bowel Surgery, feeding lube Endoscopy