Nursing Endocrine Disorders Case Studies

1. Case Study One         

Case Study DI

            The head injury predisposes Mrs. Jorgenson to a wide variety of antidiuretic hormone deficiencies that are often caused by head trauma (Adam & Osborne, 2005). Even though the history of DI is mostly associated with very severe traumatic head injuries that fracture the skull and affect cranial nerves, the ability to offer her early diagnosis is reduced especially if her body temperature is low (Williams & Hopper, 2015). However, if she suffers a mild or average brain trauma after the accident, any acute DI symptoms will indicate inflammation on the pituitary and very small or temporary ADH deficiencies (Adam & Osborne, 2005).

Both DI and DM (diabetes mellitus) can exhibit symptoms that are similar such as an increased frequency to urinate, and increased thirst. Because of probable high bleeding after the accident, her urine specific gravity will be high. She will also have a high serum osmolality because of fluid deprivation through increased urination. However, Mrs. Jorgenson is most at risk from the diagnosis that determines the level of urine specific gravity because in this case, the fluid-related diagnosis may not factor in aspects such as simultaneous fluid loss through bleeding and urine since this diagnosis is effective only if her fluid loss is only through bleeding.

The best treatment plan for Mrs. Jorgenson should include: Placing her on oxygen and blood supply to the expected standards, monitoring her blood pressure, the prevention of further head injury and continuous monitoring in order to detect any changes or worsening of the current symptoms she is exhibiting. If her accident was very severe, she should be taken to the ICU to completely reduce any further bleeding, inflammation and a probable reduction of oxygen supply to the brain (Whitfield, 2009).

References

Adam, S. & Osborne, S. (2005). Critical care nursing: science and practice. Oxford New York: Oxford University Press.

Whitfield, P. (2009). Head injury: a multidisciplinary approach. Cambridge: Cambridge University Press.

Williams, L. & Hopper, P. (2015). Understanding medical surgical nursing. Philadelphia: F.A. Davis Company.

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