Cushing syndrome
Cushing's syndrome case study
Mrs. A has been taking high doses of glucocorticoids for much of the past 2 years to
control severe rheumatoid arthritis. She has now developed hypertension and type 2
diabetes and would like to stop taking the cortisone because of the unwanted changes in
her appearance.
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Mrs. A has been taking high doses of glucocorticoids for much of the past 2 years...
Mrs. A has been taking high doses of glucocorticoids for much of the past 2 years to control severe rheumatoid arthritis. She has now developed hypertension and type 2 diabetes and would like to stop taking the cortisone because of the unwanted changes in her appearance. How does Cushing’s syndrome affect the individual? Discuss how hypertension and diabetes have developed and the potential complications of these conditions. Discuss other potential problems that Mrs. A may experience resulting from long-term use...
VanMeter: Gould's Pathophysiology for the Health Professions, 5th Edition Chapter 16: Endocrine System Disorders Case Studies...
VanMeter: Gould's Pathophysiology for the Health Professions, 5th Edition Chapter 16: Endocrine System Disorders Case Studies Case Study 1 Mrs. A has been taking high doses of glucocorticoids for much of the past 2 years to control severe rheumatoid arthritis. She has now developed hypertension and type 2 diabetes and would like to stop taking the cortisone because of the unwanted changes in her appearance. 1. How does Cushing's syndrome affect the individual? :2. Discuss how hypertension and diabetes have...
Case Study 3 Glucocorticoid Agents A 40-year-old woman has had rheumatoid arthritis for 5 years. She...
Case Study 3 Glucocorticoid Agents A 40-year-old woman has had rheumatoid arthritis for 5 years. She has been on multiple NSAIDS with some symptomatic relief. On a few occasions she has taken corticosteroids for severe exacerbations. She feels that her disease is getting worse. She has more stiffness and swelling in her hands and wrists. She is currently taking the recommended maximum dosage of ibuprofen, but admits to taking more than she should on bad days. On examination, the nurse...
Case Study 3 Glucocorticoid Agents A 40-year-old woman has had rheumatoid arthritis for 5 years. She...
Case Study 3 Glucocorticoid Agents A 40-year-old woman has had rheumatoid arthritis for 5 years. She has been on multiple NSAIDS with some symptomatic relief. On a few occasions she has taken corticosteroids for severe exacerbations. She feels that her disease is getting worse. She has more stiffness and swelling in her hands and wrists. She is currently taking the recommended maximum dosage of ibuprofen, but admits to taking more than she should on bad days. On examination, the nurse...
Nutrition Case Study - Type 2 Diabetes Mellitus Mrs. Ellex is a 51-year-old African American female...
Nutrition
Case Study - Type 2 Diabetes Mellitus Mrs. Ellex is a 51-year-old African American female who works as a bookkeeper for an insurance company. Her father and brother have type 2 diabetes mellitus, and have had severe complications because of poor control of blood glucose She is 5' 4" tall and weighs 174 pounds with a medium frame. She has a history of obesity, hypertension, hypothyroidism, and frequent urinary tract infections, and is currently taking propranolol and levothyroxine Mrs....
Cushing Syndrome
Patient ProfileT.H. is a 26-year-old elementary school teacher. He seeks the advice of his health care provider because of changes in his appearance over the past year.Subjective DataReports weight gain (particularly through his midsection), easy bruising, and edema of his feet, lower legs, and handsHas been having increasing weakness and insomniaObjective DataPhysical examination: BP 150/110; 2+ edema of lower extremities; purplish striae on abdomen; thin extremities with thin, friable skin; severe acne of the face and neckBlood analysis: Glucose 167...
Mrs. Follex is a 51-year-old African American female who works as a bookkeeper for an insurance...
Mrs. Follex is a 51-year-old African American female who works as a bookkeeper for an insurance company. Her father and brother have type 2 diabetes mellitus, and have had severe complications because of poor control of blood glucose. She is 5' 4" tall and weighs 174 pounds with a medium frame. She has a history of obesity, hypertension, hypothyroidism, and frequent urinary tract infections, and is currently taking propranolol and levothyroxine. Mrs. Follex complains of constant fatigue over the past...
Perioperative Case Study: Print out and bring to class The patient is a 35 year old...
Perioperative Case Study: Print out and bring to class The patient is a 35 year old female who teaches third grade. She has a history of rheumatoid arthritis and is admitted for right knee surgery with the use of spinal anesthesia. Subjective & objective data: -Married, no children -Is concerned about mobility and getting back to work because she is on her feet most of the day during work hours -Health history: Diabetes mellitus, rheumatoid arthritis Hypertension; controlled on medication...
Mrs. Ramirez was admitted to the hospital for wrist surgery secondary to rheumatoid arthritis. Postoperatively, she is s...
Mrs. Ramirez was admitted to the hospital for wrist surgery secondary to rheumatoid arthritis. Postoperatively, she is stabilized and transferred to the general surgery unit. Mrs. Gonzalaez’s medications include digoxin, Lasix, captopril, Synthyroid, aspirin, Protonix, and prednisone. When administering morning medications, Mrs. Ramirez refuses her aspirin and prednisone, and the nurse holds the medications. Over the next 3 days, Mrs. Gonzalez continues to refuse the prednisone, and the medication is not administered. On the third postoperative day, Mrs. Ramirez becomes...
Chapter 49: Nursing Management: Endocrine Problems Case Study: Cushing Syndrome Patient Profile: H. is a 26-year...
Chapter 49: Nursing Management: Endocrine Problems Case Study: Cushing Syndrome Patient Profile: H. is a 26-year old elementary school teacher. He seeks the advice of his health care provider because of changes in his appearance over the past year. Subjective Data: Reports weight gain (particularly through his midsection), casy bruising, and edema of his feet, lower legs, and hands .Has been having increasing weakness and insomnia Objective Data: Physical examination: BP 150/110: 2 edema of lower extremities; purplish striae n...
VanMeter: Gould's Pathophysiology for the Health Professions, 5th Edition Chapter 16: Endocrine System Disorders Case Studies Case Study 1 Mrs. A has been taking high doses of glucocorticoids for much of the past 2 years to control severe rheumatoid arthritis. She has now developed hypertension and type 2 diabetes and would like to stop taking the cortisone because of the unwanted changes in her appearance. 1. How does Cushing's syndrome affect the individual? :2. Discuss how hypertension and diabetes have...
Case Study 3 Glucocorticoid Agents A 40-year-old woman has had rheumatoid arthritis for 5 years. She has been on multiple NSAIDS with some symptomatic relief. On a few occasions she has taken corticosteroids for severe exacerbations. She feels that her disease is getting worse. She has more stiffness and swelling in her hands and wrists. She is currently taking the recommended maximum dosage of ibuprofen, but admits to taking more than she should on bad days. On examination, the nurse...
Case Study 3 Glucocorticoid Agents A 40-year-old woman has had rheumatoid arthritis for 5 years. She has been on multiple NSAIDS with some symptomatic relief. On a few occasions she has taken corticosteroids for severe exacerbations. She feels that her disease is getting worse. She has more stiffness and swelling in her hands and wrists. She is currently taking the recommended maximum dosage of ibuprofen, but admits to taking more than she should on bad days. On examination, the nurse...
Nutrition
Case Study - Type 2 Diabetes Mellitus Mrs. Ellex is a 51-year-old African American female who works as a bookkeeper for an insurance company. Her father and brother have type 2 diabetes mellitus, and have had severe complications because of poor control of blood glucose She is 5' 4" tall and weighs 174 pounds with a medium frame. She has a history of obesity, hypertension, hypothyroidism, and frequent urinary tract infections, and is currently taking propranolol and levothyroxine Mrs....
Mrs. Follex is a 51-year-old African American female who works as a bookkeeper for an insurance company. Her father and brother have type 2 diabetes mellitus, and have had severe complications because of poor control of blood glucose. She is 5' 4" tall and weighs 174 pounds with a medium frame. She has a history of obesity, hypertension, hypothyroidism, and frequent urinary tract infections, and is currently taking propranolol and levothyroxine. Mrs. Follex complains of constant fatigue over the past...
Chapter 49: Nursing Management: Endocrine Problems Case Study: Cushing Syndrome Patient Profile: H. is a 26-year old elementary school teacher. He seeks the advice of his health care provider because of changes in his appearance over the past year. Subjective Data: Reports weight gain (particularly through his midsection), casy bruising, and edema of his feet, lower legs, and hands .Has been having increasing weakness and insomnia Objective Data: Physical examination: BP 150/110: 2 edema of lower extremities; purplish striae n...
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