MRS. QUARY Case Study - Hyperthermia Related to Inflammation Process - Health Assignment Help

Assignment Task :

CASE 1

MRS. QUARY 36 Y/O GRAVIDA 3, PARA 3 IS SUFFERING FROM A PUERPERAL INFECTION DURING 3 RD DAY POSTPARTUM PERIOD. HER VITAL SIGNS ARE THE FOLLOWING: BP- 130/80, PR- 95, RR- 25, T- 38. 5 C. ACCORDING TO THE PATIENT, SHE HAD HISTORY OF UTI DURING THE SECOND TRIMESTER AND WAS TREATED WITH UNRECALLED ANTIBIOTICS. 

CURRENT WORKING DIAGNOSIS OF THE ATTENDING PHYSICIAN IS ENDOMETRITIS DUE TO THE FOLLOWING SIGNS AND SYMPTOMS PRESENTED: FEVER, WITH UTERINE TENDERNESS UPON PALPATION OF ABDOMEN, RATED 8/10, GRIMACES; UTERUS IS CONTRACTED, FUNDUS 2 FB BELOW THE UMBILICUS, WITH MODERATE VAGINAL BLEEDING AND MODERATELY SOAKED NAPKIN, WITH FOUL SMELLING LOCHIA UPON ASSESSMENT; NEGATIVE HOMAN’S SIGN, PATIENT IS WORRIED ABOUT HER CONDITION AND CONCERNED WITH HOW SHE WILL BREASTFEED HER BABY.

PATIENT CLAIMS SHE HAD THREE BOUTS OF DIARRHEA (WATERY, LIGHT BROWN STOOL, NONE-FOUL SMELL) WITHIN THE DAY. STOOL EXAM REVEALED BACTERIAL INFECTION. URINALYSIS WITH HIGH PUS CELLS, AND CLOUDY URINE.

PATIENT IS STARTED WITH PLAIN NSS 1 LITER X 30 GTTS PER MINUTE. IV ANTIBIOTICS ARE ALSO STARTED: CLINDAMYCIN 900 MG EVERY 8 HOURS; GENTAMICIN 5 MG/KG EVERY 24 HOURS AND METRONIDAZOLE 500 MG EVERY 8 HOURS; CELIXOCIB 200 MG EVERY 6 HOURS PRN FOR PAIN; PARACETAMOL (TEMPRA) 500 MG EVERY 4 HOURS PRN FOR FEVER 38.5 C AND ABOVE.

INSTRUCTIONS:

1. IDENTIFY ALL ACTUAL PROBLEMS, PRIORITIZE AND JUSTIFY PRIORITIZATION.

• Hyperthermia related to inflammation process

• Acute pain related to tissue inflammation as evidenced by coded report of pain (8/10) and grimace

• ANXIETY? Interrupted breastfeeding related to maternal illness 

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