Cardiovascular Case study

Paper details:

Topic 1: Cardiovascular Case study

Ryan is an 11 month old infant who was born with Down’s syndrome and lives with his parents in a middle class neighborhood. Ryan weighted 3.2 kg (7 lb) at birth and a heart murmur was heard. Ryan was breast fed for 4 months. His mother says that at the time, he became “disinterested” in the breastfeeding, but when she was able to get him to nurse, he would fall asleep after having nursed for only 5 minutes. Because he was not gaining weight appropriately, his nurse practitioner prescribed infant formula with iron and suggested that his mother begin feeding Ryan rice cereal twice a day. At 4 months of age Ryan was diagnosed with an atrial septal defect that has been monitored since the diagnosis. Ryan sits unsupported but, according to his mother, does not crawl or attempt to stand because “he gets out of breath when he tries to crawl so we bought a walker that he moves around in”. Since he was 5 months old, Ryan has been receiving digoxin 200 micrograms and Furosemide 10 mg every day.

Ryan’s parents bring Ryan in to the clinic because he has been lethargic and has had diarrhea for the past 24 hours. When the nurse practitioner assesses Ryan, he weighs 7 kg (15.4 lb) and his vital signs are:

Temperature: 36.5 C (97.7 F)

Pulse: 80 beats/minute

Respirations: 35 breaths/minute

His laboratory results are:

Potassium level: 2.9 mmol/L

Digoxin level 2.5 ng/mL (Broyles, 2006).

You will need to summarize the following questions in 1- 2 paragraphs.
1.What is a potential diagnosis?
2.Discuss the pathophysiology.
3.What is the incidence and etiology of this congenital heart defect?
4.What is the relationship between Ryan’s current weight and his heart defect?
5.What other data indicate the impact on Ryan’s growth and development?
6.Discuss the rationale for the medication regimen for Ryan.
7.What is your impression of Ryan’s assessment data?

Cardiovascular Case study

Paper details:

Topic 1: Cardiovascular Case study

Ryan is an 11 month old infant who was born with Down’s syndrome and lives with his parents in a middle class neighborhood. Ryan weighted 3.2 kg (7 lb) at birth and a heart murmur was heard. Ryan was breast fed for 4 months. His mother says that at the time, he became “disinterested” in the breastfeeding, but when she was able to get him to nurse, he would fall asleep after having nursed for only 5 minutes. Because he was not gaining weight appropriately, his nurse practitioner prescribed infant formula with iron and suggested that his mother begin feeding Ryan rice cereal twice a day. At 4 months of age Ryan was diagnosed with an atrial septal defect that has been monitored since the diagnosis. Ryan sits unsupported but, according to his mother, does not crawl or attempt to stand because “he gets out of breath when he tries to crawl so we bought a walker that he moves around in”. Since he was 5 months old, Ryan has been receiving digoxin 200 micrograms and Furosemide 10 mg every day.

Ryan’s parents bring Ryan in to the clinic because he has been lethargic and has had diarrhea for the past 24 hours. When the nurse practitioner assesses Ryan, he weighs 7 kg (15.4 lb) and his vital signs are:

Temperature: 36.5 C (97.7 F)

Pulse: 80 beats/minute

Respirations: 35 breaths/minute

His laboratory results are:

Potassium level: 2.9 mmol/L

Digoxin level 2.5 ng/mL (Broyles, 2006).

You will need to summarize the following questions in 1- 2 paragraphs.
1.What is a potential diagnosis?
2.Discuss the pathophysiology.
3.What is the incidence and etiology of this congenital heart defect?
4.What is the relationship between Ryan’s current weight and his heart defect?
5.What other data indicate the impact on Ryan’s growth and development?
6.Discuss the rationale for the medication regimen for Ryan.
7.What is your impression of Ryan’s assessment data?

Order Description

Create a holistic care plan for disease prevention, health promotion, and acute care of the patient in the clinical case. Your care plan should be based on current evidence and nursing standards of care.

Visit the Online Library and research for current scholarly evidence (no older than 5 years) to support your nursing actions. In addition, consider visiting government sites such as the Centers for Disease Control and Prevention (CDC), the World Health Organization (WHO), the Agency for Healthcare Research and Quality (AHRQ), and Healthy People 2020. Provide a detailed scientific rationale justifying the inclusion of this evidence in your plan.

Next determine the ICD-10 classification (diagnoses). The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) is the official system used in the United States to classify and assign codes to health conditions and related information.

You are expected to develop a comprehensive care plan based on your assessment, diagnosis, and advanced nursing interventions. Reflect on what you have learned about care plans through independent research and peer discussions, and incorporate the knowledge that you have gained into your patient’s care plan.

Format
Click here to download the care plan template to help you design a holistic patient care plan.