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ANATOMY 2086Christopher Parrish CONCEPT MAP WORKSHEET

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ANATOMY 2086Christopher Parrish CONCEPT MAP WORKSHEET

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CONCEPT MAP WORKSHEET

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.




PATIENT INFORMATION ANTICIPATED PHYSICAL
DIAGNOSTIC TESTS FINDINGS
(REASON FOR TEST AND Christopher Parrish is an
RESULTS) 18- year-old male was
Liver enzyme test results • Wheezy respirations
diagnosed with cystic
may show hepatic fibrosis as a child and has • Hyperresonance on
insufficiency percussion
had frequent
• Dry, nonproductive,
hospitalizations previously.
Arterial blood gas analysis paroxysmal cough
He reports fatigue and has
shows hypoxemia. • Dyspnea
recently lost 6 kg (13.2 lb)
after he registered at the • Barrel chest
Serum electrolyte levels local college and moved to
may show hypochloremia live in a dormitory
and hyponatremia.




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

, • Assess for signs and symptoms of electrolyte imbalance.
• Encourage oral fluid intake of choice, unless contraindicated.


Kluwer, W., (2020). The Point: Lippincott Advior.

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