Nursing Care Plan: Pathophysiology

Nursing Care Plan Name of Student Institution Affiliation Section 4: Pathophysiology Complete the following table. Identify the conditions and treatments of the main medical diagnosis contributing to your client’s hospitalization. Also compare and highlight similarities and discrepancies between the client’s condition and what you find from other resources. Identify and list references (author, year, page numbers) for each section of the table. What is the Main Medical Diagnosis: Cholecystitis Summary of your client Summary from Literature Review Risk factors/ Causes Patient is 32 years old female, admitted in 23rd February, 2019, with severe abdominal pain. She stated that she has a previous diagnosis of hypothyroidism and anemia. Upon diagnosis, cholecystitis has been identified. In 2013, she had gone through hysteroscopy w/polypectomy. Main etiological factors or causes of the disease may include pathogenic bacteria, infection with parasites (giardiasis, opisthorchiasis, and eating disorders, formation of gallstones, diskinetic diseases of the biliary tract (dysmotility), concomitant chronic gastrointestinal diseases (gastritis, hepatitis, pancreatitis, duodeno-gastric reflux) and anomalies of the gallbladder shape. (Yamashitaet al., 2018, p. 49, DOI: https://doi.org/10.1016/j.idcr.2018.03.012). Symptoms * Patient is complaining about severe abdominal pain. * Previously, she also has anemia. * Hypothyroidism * Epigastric pain radiated to her right shoulder * No signs of diarrhea or constipation Possible common symptoms of acute cholecystitis may include dry mouth, weakness, decreased performance, irritability, slight increase in temperature, chills possible, feeling of heaviness in the stomach, recurrent constipation or diarrhea, flatulence, nausea after eating, vomiting, and insomnia. Furthermore, the patient may also experience abdominal pain (hepatic colic, persistent pain), pruritus, fever, emotional disturbances, depression, aggressiveness, and loss or decrease in working ability. (Fugazzola, Coccolini, Montori, Merli, Pisano, & Ansaloni, 2018, p 52. DOI: https://doi.org/10.1007/978-3-319-59704-1_6). Tests (Include the actual test results of the client) * Weight: 70.81kg * Height: 5.4 feet * Allergies: None * Surgery Performed (date): 2013 hysteroscopy w/polypectomy * Admission Diagnosis: cholecystitis * AST Test: 13 ALT: 50 bilitot : 0.6 albumin: 4.3 WBC 12.3 HGB: 12.4 HCT: 38 PLT: 199 hemoglobin 10.2 hematocrit .31 platelets 172 sodium 135 potassium 3.5 chloride 10.5 BUN 6 and creatinine 0.44 Patient’s weight is also increased according to the weight to height ratio which may cause further complications in the patient. In the case of acute cholecystitis, the level of leukocytes in the blood increases, ESR increases, and indicators of acute inflammation appear (sialic acids, C-reactive protein, alpha globulins). Urine tests are usually without deviations from the norm. The analysis of feces is informative only in case of obstructive jaundice; its discoloration is observed (gray feces). Increased amount white blood cells are also a potential indicator of this diseases (Borazanci, Dreisbach, & Ramanathan, 2015: p. 60 ). Treatments ...