Complete the attached Nursing concept map using the patient in the case scenario provided.
Case Study Scenario: 25 y/o female (chemo)
A 25 year old female in admitted to your Med/Surg unit due to extreme nausea followed by some vomiting. The pt had a chemotherapy treatment 24 hours ago. She is getting chemotherapy due to having stage 4 cervical cancer. This was her first chemotherapy treatment. The patient’s mom is with her and states she is worried about her daughter. The patient is lying on her side with her arms around her stomach. A vomit basin is at the bedside. The patient intermittently moans out in discomfort and does not want to talk because she feels too bad. You get the health history from the mother which includes appendectomy, successful Cesarean pregnancy times one 10 months ago, and a miscarriage 3 years ago. When asked if the patient was prescribed anything for nausea after the chemotherapy treatment the mom states no but wishes she would have asked for something. Mom states no other family Hx of Cervical Cancer.
Vital signs: HR 111, BP 120/80, Temperature 99.2, RR 20, oxygen saturation 98% on room air. The patient is lying on her side with her arms around her stomach. The patient says she is extremely nauseous. On assessment, her skin is cold and clammy.
Platelet count 104L. The normal range for platelet value is 150L-400L.
Lymphocytes-15.1L (low) normal ranges 20.5L-51.1L
Monocytes- 10.7L (high) normal ranges 1.7-9.3
MAR: NPO NKA
IV D5W 20meg. Potassium 100ml/hr
Pepcid 20 mg IVP q 12 hrs PRN
Zofran 6mg IVP q 6hr.s PRN for N/V
Sancuso 1 mg q transdermal patch for Hyperemesis
Pertinent Labs
Co2- 24 mEq/L
BUN- 18 mg/dL
Creatinine- 1.7 mg/dL
WBC- 5.90 10*3/uL
RBC- 4.26 10*6/uL
HGB- 11.4 g/dL
HCT- 36.8%
MCV- 91.3 fL
MCHC- 34.4 g/dL
MDV- 10.3 fL
RDW- 13.9%
Glucose- 89mg/dL
Sodium- 117 mEq/L
Potassium- 1.3 mEq/L
Chloride- 103mEq/L
Alk. Phosphate- 79 IU/L
Protein- 4.0 g/dL
Globulin- 2.7 g/dL
6 steps Nsg. Care Plan
1. Read Patient Scenario
2. Look at Assessment Data
a. Subjective/Objective
b. Analyze data
3. Develop Nsg. Dx
4. Develop Pt. Goals (planning)
5. Nsg. Interventions
6. Evaluation
Care Plan Video:
https://www.youtube.com/watch?v=07Z4ywfmLg8
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