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Case Study: Biochemistry Nursing

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1. This case is about a 5 year old boy named Bryce Morris. During his yearly check up and vital signs study he has been noted with these following properties, that follows he has decreased from 50th percentile of height and weight 1 year ago to the 5th percentile.

A nurse will further asses some field, they are as follows

• Will check his chest diameter measurements

• Chest diameter at the nipple line.

• Will check his BMI ( Body Mass Index),

• Should check his vision and hearing property with the help of appropriate and standard equipments (Canté-Barrett, Pieters & Meijerink, 2013).

• As Bryce has diagnosed with Particular juvenile idiopathic arthritis , so a nurse should recommend him for some tests, that are as follows

• CBC (count of blood cells)

• Checking for the inflammatory markers like erythrocyte sedimentation rate (ESR),

• And C reactive protein,

• Should be checked for the presence of anemia and iron deficiency,

• Should be checked for leukocytosis,

• The nurse should give some advice to Bryce family and also for Bryce, that are as follows-

• His family should opt for best medical care for his child and should follow the doctor’s instructions.

• Juvenile arthritis is different in different child so the parents should know their child’s disease very closely (Iwamoto, Bundo, Kasai & Kato, 2011).

• They should check that if there is any side effect for the medications the doctor prescribes.

• Parents should treat their child as normal one.

• They should encourage their child to exercise and should give him physical therapy for better results.

• Parents should talk with him and make him understand that juvenile arthritis is nobody’s fault (Lev & Pinchasi, 2014).

• They should support him mentally, and make him mentally stronger.

• Parents should work with social workers as they can help them for getting the best treatment.


2. The second case is about a 9 month old La Wanda Green, she is brought to the emergency department as she has red raised bumps on her chest and back.

• The emergency department nurses have some priority assessment to do, they are as follows –

• She has to prepare the unit and the admission of patients to the emergency room.

• To evaluate and document the patient’s condition.

• To assist in many procedures like Intubation, Chest tube insertion, internal jugular, Ryle’s tube insertion and Foley’s Catheter insertion.

• Provide bed side nursing care.

• Prepare the patients for different type of examinations like X- ray, ECG, MRI, Ultrasonography etc.

• Monitoring continuously and report to the doctors.

• Administer medications as prescribed by the doctor.

• Should collect samples and evaluate them and document it for further process.

• The informations important for including in a health history are as follows – report of allergy, blood pressure, diabetes, cholesterol, smoking related any concern, any family member had a heart attack.

• La Wanda’s grand parents should be taught that her problem can arouse from allergy or it can be any type of infection, so they should careful for her.

3.  This case is about a 14 year old boy named Miguel Souza, who has reported to have a prolonged case of diarrhea.

• The other health history related information which have to be included , they are as follows –

• If he had ate any bad thing like spoiled food or unpure water or any other liquid.

• His BMI.

• If he had any allergy related concern.

• If his any of family member has any history related to diarrhea.

• If he has any report related to STD.

• The following diagnostic tests a nurse should order –

• Stool test for diarrhea to find out the causative agent of diarrhea.

• A complete blood count test.

• Check up for the presence of STD.

• The nutritional plan for Miguel should have

• BRAT diet i.e. Banana, Rice, Applesauce, Toast

• Should have fibrous foods.

• A huge amount of liquid mainly purified water with electrolytes.

• There can be a psychological impact on Miguel that he might have HIV infection but this is not sure as he does not include any history or report for that. But he should check it first. Because both side can be possible as if he has HIV infection then his immunity can so lowered that he can have the disease but if he does not have the disease then it can be just a microbiological disease (Lev & Pinchasi, 2014).


Reference List

Canté-Barrett, K., Pieters, R., & Meijerink, J. (2013). Myocyte enhancer factor 2C in hematopoiesis and leukemia. Oncogene, 33(4), 403-410. doi:10.1038/onc.2013.56

Iwamoto, K., Bundo, M., Kasai, K., & Kato, T. (2011). Measuring RNA editing of serotonin 2C receptor. Biochemistry (Moscow), 76(8), 912-914. doi:10.1134/s0006297911080062

Lev, V., & Pinchasi, R. (2014). Solving a±b=2c in elements of finite sets. Acta Arithmetica, 163(2), 127-140. doi:10.4064/aa163-2-3


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