Breast cancer with bone metastasis
with lung metastasis
Nursing Care Plan
- lack of oxygen due to pleural effusion (an pleural effusion)
- Observe the signs and symptoms of hypoxia such as shortness of breath, the hands and feet are probably tired.
- Measure the vital signs every 4 hours, measure O2 sat
- Make a high head position.
Pathology of the disease
- Take care of help in various activities.
- Take care to receive oxygen according to the treatment plan.
- on mask with bag 10/pm
- Help the doctor perform pleural tapping
Breast cancer usually occurs in the tissues of the mammary ducts. The most common is the type Adenocarcinoma If the breast cancer is larger than 5 millimeters, it has spread to the lymph nodes and bloodstream.
If it's on the inside of the breast, it tends to spread to the lymph nodes.
- Take care the patient to receive medication according to the doctor's treatment plan.
If it has spread to other organs, there will be abnormalities in that organ.
Lasix 20 mg IV stat
Daxamethazone 4 mg IV q 6 hr.
lungs
bone
symtoms and signs
- Uncomfortable due to severe pain in left back and hip
- Keep the posture in a comfortable position.
- Take care by giving morphine 10 mg + 0.9% NSS IV drip
3 ml/hr (titrate gradually increased 3 ml/hr)
- MST (20) 1 tan 0 q 12 hr.
difficulty breathing
bone pain
case study imformation
chief complain
- Observe for symptoms while giving the medication, such as slowed breathing.
breathless Anxious 2 hours before coming to the hospital
present illness
- Measure V/S according to high-risk dosing guidelines, measured every 15 minutes.
-Four years ago, the hospital found a lump in the left breast. Visit the hospital, do a mammagram and take a biopsy. As a result of breast cancer, doctors recommend surgery for patients to refuse surgery and choose herbal medicines.
-1 year before coming to the hospital I have pain in my left back and hip. Underwent a bone scan, bone metastasis received 10 doses of radiation and pain relievers.
-1 month before coming to the hospital, coughing up blood, tired, had a chest x-ray, had a pleural effusion, received pleural tapping and chemotherapy.
-1 month before coming to the hospital, coughing up blood, tired, had a chest x-ray, had a pleural effusion, received pleural tapping and chemotherapy.
-2 hours before coming to the hospital, he was short of breath. restless
- Assess pain score after taking morphine 30 minutes - 1 hour, if not better, report to the doctor immediately.
6.Take care of the patient to get enough rest.
- water and electrolyte imbalances due to poor diet
- It is recommended to eat foods high in potassium, such as oranges, green leafy vegetables.
2.It is recommended to eat foods high in sodium, such as salted eggs.
past illness
high blood pressure,Treatment at Sena Hospital and receiving Amlopine (5)1 tap opc
General appearance
-A 54-year-old Thai woman has symptoms of weakness, white skin, short hair, well spread. clean scalp pale conjunctiva No cavities, but mouth ulcers, dry mouth
-On O2 mask with bag 10 lpm,R 28 bpm,P 112 bpm,BP 150/84 mmHg, O2 sat 94%
-On IV 0.9% NSS 1,000 ml drip 80 ml/hr
3.. Take care to get water and electrolytes.
-0.9% NSS 1000 ml IV 80 ml/hr
4.Watch for unusual symptoms such as thirst, palpitations.
5.Evaluate v/s every 4 hours.
6.Closely monitor serum electrolyte results.
7.Take care to receive medication according to the doctor's treatment plan.
-E kcl 30 ml o g 4 hr * 2 dose
4.have stress and anxiety due to a lack of understanding of the treatment plan
1.explain to the patient about the disease and treatment guidelines and practices that are appropriate for the disease
2.2. Give patients and relatives an opportunity to ask questions that they do not understand.
- miracid (20) 1 cap 0 bid ac
- Constipation due to decreased body movement
2.It is recommended to drink a lot of water 2000-3000 cc.
- Bowel spasm massage
1.It is recommended to eat foods that are high in fiber, such as vegetables.
- Take care to receive medication according to the doctor's treatment plan.
- Risk of bleeding easily due to low platelets
- Observe the symptoms and signs of bleeding such as scurvy, black stools.
- Evaluate the vital signs every 4 hours. Blood pressure measurements should not be too high a coff pressure because it may cause a blood vessel to rupture.
- Prevent every accident, impact that can cause blood loss.
4.Absolute bed rest
- Take care of daily activities such as brushing teeth with soft bristles.
- Follow up the operating room
Gordon's 11 functional health patterns
- lack of oxygen due to pleural effusion (an pleural effusion)
- Uncomfortable due to severe pain in left back and hip
- water and electrolyte imbalances due to poor diet
4.have stress and anxiety due to a lack of understanding of the treatment plan
- Constipation due to decreased body movement
- Risk of bleeding easily due to low platelets
นางสาว รุจิราคุณกันหา 62170110 (QCU)