VSIM Christopher Parrish Diagnosis: Cystic Fibrosis feedback log - Scored 100% (latest 2023)

VSIM Christopher Parrish Diagnosis: Cystic Fibrosis feedback log - Scored 100% (latest 2023) DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) Cystic fibrosis is a chronic, progressive, inherited, incurable disease affecting exocrine (mucus-secreting) glands. Transmitted as an autosomal recessive trait affecting chromosome 7. The Characterized by major aberrations in sweat gland, respiratory, and pancreatic insufficiency with lungs being the primary organ affected. Causes of signs and symptoms to increase viscosity of bronchia, pancreatic, and mucous gland secretion. DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS) PATIENT INFORMATION Christopher Parrish is an 18- year-old male was diagnosed with cystic fibrosis as a child and has had frequent hospitalizations previously. He reports fatigue and has recently lost 6 kg (13.2 lb) after he registered at the local college and moved to live in a dormitory ANTICIPATED PHYSICAL FINDINGS • Wheezy respirations • Hyperresonance on percussion • Dry, nonproductive, paroxysmal cough • Dyspnea • Barrel chest ANTICIPATED NURSING INTERVENTIONS • Wash hands, introduce self, and identify patient • Obtain vital signs, including asking about allergies and pain level assessment • Check the provider’s order in the electronic health records (EHR) • Encourage nutritional intake • Provide emotional support to the patient and family related to the chronic nature of the condition and frequent exacerbations. • Implement energy-saving techniques • Encourage upper body exercises to help improve respiratory muscle endurance • Assess the skin's appearance, temperature, and integrity Liver enzyme test results may show hepatic insufficiency Arterial blood gas analysis shows hypoxemia. Serum electrolyte levels may show hypochloremia and hyponatremia.