HowLucy’s Crohn’s Disease could be managed?
Explainthe pathophysiological process that led to Lucy’s consciousperception of pain in her lower right abdominal quadrant?
Lucywas diagnosed with a colitis condition that affects the colon of thegastrointestinal system called Crohn’s disease. This ulcerativeillness immunologically mediated regarding its manifestations and itis a T- cell mediated problem. This pathological outcome is as aresult of active T-cells action on the normal flora present in thecolon of the susceptible individual. This condition may develop intoa massive infection due to some several exposing factors suchenvironmental conditions that may destroy the mucosal lumen that actsas the protective barrier against mechanical and chemical damage,secondly it is as a result of a persistent infection that weakens thebody`s immunity and lastly dysbiosis. Dysbiosis is where an imbalanceoccurs between available beneficial and detrimental micro-organisms.
Concerningthe ulcerations that occur along the inner lining of the colon,several associated characteristics are displayed in by Lucy’sclinical manifestations. Lucy has low hemoglobin which is due toblood loss (105g/L). Inflammation occurs at any wound recovery andtherefore, pain is experienced by the patient due to the edema fromthe fluid depositions in the surrounding tissues. Any deviation innormal health is followed by fever and increased blood flow thatrecords an increase in the pulse rate of 110 (normal ranges 40-100permin) and thus elevated respiration. In response to thegastrointestinal infections, the body responds by providing morewhite cells to fight the disease and there is an increased WBC countof up to 15000. The wounds are open and in case, any mechanical tearoccurs in the lumen of the colon the blood vessels are torn moreblood loss means a reduction in Lucy’s blood and blood in thestool. The present of a palpable mass in the area of pain alsoexplains the chances for the presence of the disease. All thementioned situations are the reason behind the patient’s painsexperienced in the lower right abdominal quadrant.
Describethe characteristics of the intravenous fluid that was ordered forLucy.
Thepatient’s (Lucy’s) condition can be managed through a series ofwell-observed management procedures involving diet observation andtherapy approaches. For the case of our client, the physicianprescribed 1000mL 0.9% of normal saline be administered intravenouslyto the patient for over eight hours. This fluid is used as anelectrolyte replacement component. It is free of microbial agents andhas a pH of 5.5 with no effect on the homeostatic balance. It alsohas 0.45% sodium chloride with an osmolality variation of 154mOsmol/L. These ions are responsible for maintaining theextracellular and intracellular fluid compartments within thenephrons for a controlled fluid loss through the urinary system.Providing the sodium and chloride ions to the client is, therefore, awise decision to prevent dehydration of the patient since much fluidis lost through diarrhea. Loss of fluids may result in hypovolemicshock which leads to low blood pressure and low oxygen. The patientmay suffer from coma and then death.
Describethe mechanism of action of Fentanyl in relation to its administrationto Lucy
Fentanylis a sedative drug that can be used locally with an addition ofanother solution. This medicine opposes the primary function of theopioid receptors. The drug has a high penetrative ability to reachcentral nervous system this aids to tackle the receptors inrecognizing pain. This is important because the patient requires togo through a resection and thus, to reduce pain fentanyl was used.Its sedative action is experienced on the skin by the receptors whereit is dispatched and is slowly absorbed into the blood vessels andcauses an endurable pain relief.
Toensure good management of any pathological condition in patients, ashealthcare providers, we must also observe more reliable informationstarting from the history to the safe and appropriate treatment. Anydeviation from the require procedures are risks to the clients lives.Close monitoring of patients is mandatory to ensure that they get allthe necessary resources in time to save their lives.
Sartor, R. B. (2006). Nature Clinical Practice Gastroenterology and Hepatology. North Carolina: Chapel Hill.