Cervical Ca

In: Other Topics

Submitted By Glacia
Words 901
Pages 4
Clinical management and patient’s response and evidence based comparisons
Upon admission, following subsequent blood works, the doctor on duty ordered for Miss N.M. to be administered IV Lasix 40mg, Nifedipine 10mg po stat, cocktail stat (100cc 50% Dextrose, 20 cc of calcium gluconate and 20 units of soluble insulin) slow push to be infused 3 unit of Packed Red Blood Cells, and IVF 2.5L/24 hrs: normal saline. Four days later Miss N.M. was diagnosed with Hypokalemia, obstructive Uropathy, Anaemia and Likely Cervical Cancer. A biopsy confirmed Cervical Cancer Stage III B and bilateral Nephrostomy tubes were ordered and inserted to aid the client in eliminating wastes from here body.
With the administration of the IV Lasix 40 mg and Nifedipine 10 mg po there was a significant improvement in the client’s blood pressure readings 149/96 122/82. However, there was still no urinary output of significance. There should have been increased urinary output due to the therapeutic action of this loop diuretic. The administering of the loop diuretic, cocktail (100cc 50% Dextrose, 20 cc of calcium gluconate and 20 units of soluble insulin) and the insertion of the nephrostomy tubes improved the clients potassium reading from a 7.6 to a 5.8mEq/l. Normal potassium level range between 3.5-5.0. The potassium level in the blood was still elevated thus Kayexalate 15g po tds was added to the regime. This antihyperkalemic drug releases sodium ions in exchange primarily for potassium ions and ultimately expels potassium from the body via the intestines (Deglin, Vallerand & Sanoski, 2014). With the nephrostomy tubes institu, there was improved in the electrolyte balance of the client.
A study conducted by Mishra, Desai, Patel, Mankad and Dave (2009) saw the correlation between advanced cervical cancer and obstructive Uropathy and the need for insertion of percutaneous nephrostomy…...

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