Assignment Task :

Case Study with four (4) guided questions Case Study:                
Jordan James is a 25-year-old male. Jordan has been admitted to hospital with a five-day history of right lower abdominal cramping pain, a feeling of abdominal bloating, nausea and bilious vomiting, and an increased amount of abdominal gurgling and rumbling. Jordan stated that over recent weeks, he has experienced persistent diarrhoea, lower right abdominal pain and tenderness, fatigue and malaise. Jordan stated he has not been able to keep up with his work demands and is not getting quality rest and sleep. Due to his diarrhoea and current vomiting, Jordan states that he has been reluctant to eat or drink much during the past five (5) days. He reported that he has lost seven kilograms in the last three weeks.
Jordan was diagnosed with Crohn’s disease when he was 17 years old. His Crohn’s disease was diagnosed after Jordan presented to his general practitioner (GP) with a perianal abscess. Since his diagnosis and surgical management of his perianal abscess, Jordan’s Crohn’s disease has been managed with pharmacological (infliximab) and dietary strategies, and medical monitoring. During this time, Jordan has had a number of exacerbations of Crohn’s disease.

 

The MO orders the following:
• Morphine 15mg intramuscularly (IM) QID PRN 
• metoclopramide (’Maxolon’) 10mg IMI TDS
• 1000mL Hartman’s solution over 6 hours via IVI  
• methylprednisolone 20mg IVI TDS
• nil by mouth    

 

1. Explain the structural and functional changes in the disease process that led to Jordan’s weight loss. Student answers must be supported by relevant academic references.  
2. Explain the pain pathway and how Morphine alters the conscious perception of pain.  
3. Explain the clinical manifestations hat may indicate the deterioration of Jordan’s Crohn’s condition and explain why they occur.  
4. Explain the characteristics of the intravenous fluid that was ordered for Jordan and explain the rationale for the administration of the IV fluid relating to Jordan’s specific fluid balance. 
 

 

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  • Uploaded By : Grace
  • Posted on : January 12th, 2018

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