1
RUNNING HEAD: CASE STUDY: MR. C
Case Study: Mr. C
Alexis DeLeon
Grand Canyon University
NRS:410V: Pathophysiology and Nursing Management of Clients’ Health
Professor Turner
May 28, 2021
This study source was downloaded by 100000839287192 from CourseHero.com on 04-08-2022 09:24:29 GMT -05:00
https://www.coursehero.com/file/100704834/Case-Study-Mr-Cdocx/
, CASE STUDY: MR. C 2
Case Study: Mr. C
This paper is a case study on Mr. C. It will discuss the clinical manifestations he is
experiencing. It will touch on potential health risks for his condition and discuss possible surgery
options. This paper will include five actual or potential problems for Mr. C with rationale. The
staging of end stage renal disease (ESRD) and considerable factors will also be discussed.
Patient education for Mr. C will be included, along with resources for ESRD followed by a
conclusion.
Clinical Manifestations of Mr. C.
Mr. C is seeking medical advice regarding possible bariatric surgery due to him being
obese. His current weight is 134.5 kg. Mr. C also has hypertension with a blood pressure of
172/98 at the time of assessment. He has 3+ pitting edema in his bilateral feet and ankles, a
fasting blood glucose of 146, an elevated total cholesterol level of 250, high BUN lab of 32,
elevated serum creatinine of 1.8, and elevated triglycerides of 312. He is also experiencing
tachypnea with a respiratory rate of 26 breaths per minute and has sleep apnea. Mr. C has some
complaints of pruritus and reports shortness of breath with activity.
Potential Health Risks for Obesity and Bariatric Surgery
Mr. C will need a consultation with a bariatric surgeon. They can work together to
determine whether or not the benefits of surgery outweigh the risk factors. Although Mr. C may
benefit from bariatric surgery, he also has a high operative risk that may cause complications
post surgery. “The main risk factors are age, male gender, body mass index, obstructive sleep
apnea syndrome, insulin resistance and diabetes, tobacco abuse, cardiovascular disease, ability to
lose weight before surgery, hypoalbuminemia and functional disability” (Quilliot, D., at el,
This study source was downloaded by 100000839287192 from CourseHero.com on 04-08-2022 09:24:29 GMT -05:00
https://www.coursehero.com/file/100704834/Case-Study-Mr-Cdocx/
RUNNING HEAD: CASE STUDY: MR. C
Case Study: Mr. C
Alexis DeLeon
Grand Canyon University
NRS:410V: Pathophysiology and Nursing Management of Clients’ Health
Professor Turner
May 28, 2021
This study source was downloaded by 100000839287192 from CourseHero.com on 04-08-2022 09:24:29 GMT -05:00
https://www.coursehero.com/file/100704834/Case-Study-Mr-Cdocx/
, CASE STUDY: MR. C 2
Case Study: Mr. C
This paper is a case study on Mr. C. It will discuss the clinical manifestations he is
experiencing. It will touch on potential health risks for his condition and discuss possible surgery
options. This paper will include five actual or potential problems for Mr. C with rationale. The
staging of end stage renal disease (ESRD) and considerable factors will also be discussed.
Patient education for Mr. C will be included, along with resources for ESRD followed by a
conclusion.
Clinical Manifestations of Mr. C.
Mr. C is seeking medical advice regarding possible bariatric surgery due to him being
obese. His current weight is 134.5 kg. Mr. C also has hypertension with a blood pressure of
172/98 at the time of assessment. He has 3+ pitting edema in his bilateral feet and ankles, a
fasting blood glucose of 146, an elevated total cholesterol level of 250, high BUN lab of 32,
elevated serum creatinine of 1.8, and elevated triglycerides of 312. He is also experiencing
tachypnea with a respiratory rate of 26 breaths per minute and has sleep apnea. Mr. C has some
complaints of pruritus and reports shortness of breath with activity.
Potential Health Risks for Obesity and Bariatric Surgery
Mr. C will need a consultation with a bariatric surgeon. They can work together to
determine whether or not the benefits of surgery outweigh the risk factors. Although Mr. C may
benefit from bariatric surgery, he also has a high operative risk that may cause complications
post surgery. “The main risk factors are age, male gender, body mass index, obstructive sleep
apnea syndrome, insulin resistance and diabetes, tobacco abuse, cardiovascular disease, ability to
lose weight before surgery, hypoalbuminemia and functional disability” (Quilliot, D., at el,
This study source was downloaded by 100000839287192 from CourseHero.com on 04-08-2022 09:24:29 GMT -05:00
https://www.coursehero.com/file/100704834/Case-Study-Mr-Cdocx/
