System Disorder Template ATI25 Cystic Fibrosis PDF

Preview

Summary

This is a template for ATI simulation...

Description

ACTIVE LEARNING TEMPLATE:

System Disorder

Lelek ST UDENT NAME Dorota _____________________________________ Cystic fibrosis DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis)

Pathophysiology Related to Client Problem is respiratory disorder that results from inheriting amutated gene.Musuc glands that secrete an increase in the quantity of thick,tenacious mucus,which leads to mechanical obstruction of organs (pancreas,lungs,liver,small intestine,and reproductive system).

Mucus glands that secretes increase quantity of thick,tenacious mucus

18 REVIEW MODULE CHAPTER ___________

Health Promotion and Disease Prevention CF cant be prevented,gentetic testing for couples who have cystic fibrosis or relatives with cystic fibrosis

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

Both biological parents carry the recessive trait for cystic fibrosis

Laboratory Tests

wheezing,dry nonproductive cough dyspne,paroxymal cough,mucus plugs and atelectasis on x-ray,cyanosis,barrel-shaped chest,clubbing of fingers and toes,multiple episodes of bronchitis or bronchopneumonia large,loose,fatty,sticky,foul-smelling stools voracious appetite(early),loss of appetite(late) failure to gain weight or weight loss distened abdomen thin legs and arms deficiency of fat-soluble vitamins sweat tears,and saliva are abnormally salty viscous cervical mucous decreased or absent sperm

Diagnostic Procedures

CBC,CRP,nutritional panel,blood glucose,CMP,ABGs Sputum culture for detection of infection stool analysis

sweat chloride testchloride less than 40 mEq/L DNA testing to isolate mutation Pulmonary Function Tests(PFTs) Chest x-ray abdominal x-ray detect meconium ileus

PATIENT-CENTERED CARE

Nursing Care Assess kung sounds and respiratory status,VS and oxygenationsaturation obtain sputum culture and sensitivity provide support to the child and family provide pulmonary managment ,gastrointestinal and endocrine managment administer prescribed medication

Therapeutic Procedures chest physiotheraphy with postural drainage as prescribed(traditional or vest)

ACTIVE LEARNING TEMPLATES

Check for allergies emphasize the need of up to date immunization and annual influenza vaccines

Complications Medications Albutero (Proventil) ipraprotium bromide (Atrovent) Fluticasone propianate/salm etrelo(Advair) Dornase alfa Vitamins

Client Education instruct client about overview of disease instruct the client how to use a nabulizer,MDI,DPI need to folow prescribed medical and theraphy regiment signand symptoms of infection

Interprofessional Care respiratory and physical theraphy,social services,pulmonologist,ph armacist,pediatrician,dieti cians

respiratory complications (respiratory infections,respiratory colonizations,bronchial cysts,emphysema,pneum othorax,nasal polyps gastrointestinal complications:meconium ileus,prolapse of the rectum,distal intestinal obstruction syndrome,GERD Endocrine complications: Diabetes mellitus problems with reproductive system...