Cervical cancer stage lll C2 with lung metastasis

Nursing Care Plan

Pathology of the disease

  1. Anemia due to uterine bleeding

case study information

chief complain

urinary incontinence and vaginal bleeding 2 days PTA

present illness

2 months ago CACervixlll h ± lungmetastasis
1 week ago, he had symptoms of weakness, a little resistance to the collision, his left leg began to swell.
2 days before starting to have urinary incontinence and starting to have BPV, so I went to the hospital.

  1. Decreased ability to perform activities
    due to weakness in the limbs.

past illness

3)Anxiety due to his own illness

HIV

general appearance


-Thai woman, 51 years old, resting in bed, talking about short hair, grayish-black color, eyebrows, thin, unfresh face, skin, swollen eyes, shape, thin
-on O2 canula ,R 20 bpm ,O2 sat 99 % ,P 90 bpm ,BP 136 /68mm Hg .
-on IV is NSS 1,000 ml drip 60 cc/hr , Cystostomy urinc dark yellow sediment approx 300 cc
-Weak limbs, puncture wound to drain urine through the abdomen.

4)Not getting enough water and nutrients due to eating less

  1. Observe for signs and symptoms of external bleeding.
  1. insert the observed bleeding pad in the vagina
  1. Assess vital signs every 4 hours
  1. give bad rest
  1. Follow up Hct results according to the doctor's treatment plan.
  1. It is recommended to eat foods high in iron, such as liver, egg yolks.

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Gordon's 11 functional health patterns

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  1. Give medication according to the treatment plan.
  • fermate (200) 1x3 O pc
  • B CO 1x3 O pc
  1. Observe the signs and symptoms of limb weakness.
  1. Do physical therapy 1 time per day by managing according to Practice the movement of sitting, standing, walking.
  1. Position your legs elevated, especially the left side.
  1. Explain to the patient about the pathology of the disease and the doctor's treatment approach.

pattern 2 : Not getting enough water and nutrients due to insufficient food intake

  1. Give the patient an opportunity to ask questions.
  1. There is a risk of infection due to the use of a urinary catheter.(Cystostomy)

pattern 3 : There is a risk of infection due to the presence of a urinary catheter. (Cytostomy)

pattern 4 : Decreased activity level due to weak limbs

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pattern 7 : have anxiety because of their own illness

pattern 9 : Anemia due to vaginal bleeding

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  1. Give medication according to the doctor's treatment plan.:
    B CO 1x3 O pc
  1. Recommend oral care to be clean.
  1. Weighing once a day
  1. Take care to receive intravenous fluids according to the treatment plan.: NSS 1000 ml IV rate 80 ml/hr
  1. Take care to eat nutritious food from all 5 food groups.
  1. Take care of the wound every day, not to be exposed to water.
  1. Take care of the cable not to be folded.
  1. Observe the wound around the Cystostmy line, no swelling, redness, pus.
  1. Observe the color and volume of urine.
  1. It is recommended to drink plenty of water 2000-3000 cc/day
  1. Assess vital signs every 4 hours.
  1. Laboratory follow-up
  1. obs. pain
  1. Give medication according to wound healing: tramal 1 tap po prn q 8 hr.

Cervical cancer is caused by abnormal changes in the cervical epithelium. It occurs in the stormation zone or squamocolumnar junction, which is the junction between the squamous epithlium and the columnar epithlium surrounding the external os of the cervix.

When there is an eruption, the wind is a cell.
Adencarcinoma often invades into the nearby vaginal wall.

symptoms and signs

abnormal bleeding in the vagina

waist and hip pain

The last stage will be pale,
weight loss.tired,anorexia

Division System Clinical distance stage H refers to the stage at which cancer cells have spread to the lymph nodes.

This results in enlarged lymph nodes and abnormal blood flow.

leg swelling

and spread into the bloodstream

invade to the target organ, the lungs.

lung cancer

นางสาว รุจิราคุณกันหา 62170110 (Gyne)