Case Study on Hypokalemia

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  • Topic: Systemic lupus erythematosus, Lupus erythematosus, Immune system
  • Pages : 30 (8782 words )
  • Download(s) : 644
  • Published : March 6, 2011
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In Partial Fulfillment of the Requirements in NCM 105
A Case Study on Systemic Lupus Erythematosus

December 2010
Table of Contents

Acknowledgement……………………..3
Objective……………………………….4
Scope and Limitations.............................5
Introduction……………………………..6
Review of Related Literature……………7-8
Case Analysis……………………………9
Health History…………………………..10
Family Genogram……………………….11
Anatomy and Physiology……………….12-13
Pathophysiology…………………………14-17
Nursing Assessment Tool……………….18-20
Nursing Care Plans………………………21-23
Medical management……………………24-26
Laboratory Results………………………27-30
Doctor’s order……………………………31-32
Nurse’s Notes……………………………33-35
Patient’s Medications……………………36-43
Nursing Theories………………………..44
Recommendations……………………….45-46
Prognosis………………………………...47-48
Journal……………………………………49-60
References and Bibliography…………….61

Acknowledgement

General Objective:
After the case presentation, the students, readers and general audience will gain through knowledge and understanding about SLE.

Specific Objectives:
1.To obtain client personal data that include socioeconomic background, genogram and family background. 2.To obtain patients past and present medical health history and OB- gyne history. 3.To identify the clients stage of development base on the different theorist. 4.To define and understand the terms related to the case.

5.To discuss the anatomy and physiology of the affected organ system. 6.To identify and discuss the etiology of the disease.
7.To have thorough physical assessment of the client.
8.To trace the pathophysiology of the clients disease through comprehensive explanation and diagram. 9.To discuss the ideal and actual medical management for the subject. 10.To interpret the diagnostic and laboratory test result and its corresponding nursing clinical implications. 11.To discuss the different medication given and its corresponding nursing responsibilities 12.To discuss implication of different nursing theorist.

13.To formulate effective nursing care plan based on actual and potential health needs. 14.To give out recommendation and health teaching applicable to the patients condition. 15.To design possible discharge plan.

16.To provide research updates related to the case.
17.To formulate prognosis based on the gathered data.
18.To present a summary and evaluation of the case study.

Scope and Limitations
This case study focuses mainly on nursing care management and independent nursing responsibilities including collaborative and dependent responsibilities. SLE is an autoimmune disease that requires attention on the core of signs and symptoms manifested by the patient since the aforementioned disorder has still on cure. The study identified actual and potential problems that during the course of care with the patient. The interventions are selectively based on the specific problem manifested by the patient as a result of malfunction of the immune system. Certain limitation came over, and these are the number of days that we’ve exposed to the patient; client perception about privacy and dignity.

Introduction
SLE (Systemic Lupus Erythematosus) is caused by disturbed immune regulation that causes an exaggerated production of autoantibodies. It is brought about by genetic, hormonal and environmental factors. This autoimmune disease may affect the skin, joints, blood, kidneys, and cardiovascular system. Signs and symptoms involve joint swelling, tenderness, pain upon movement and frequently accompanied by morning stiffness. Skin manifestations are often experienced by patients with SLE such as subacute cutaneous lupus erythematosus (papulosquamous or annular polycyclic lesions), discoid lupus erythematosus (chronic rash with erythematous papules and or plaques that may cause changes in pigmentation and scarring. The most common skin manifestation is acute cutaneous lesion (butterfly rash) a butterfly shaped...
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