NSG6320-Practicum I: Adult Health,Adults & Gerontology CP02 Paper
One of the differential diagnoses that I would consider for this patient is Addison’s disease. Addison’s disease is a metabolic disorder arising from adrenal insufficiency. The insufficiency results in the reduction in mineralocorticoids and glucocorticoids. Hormones that include androgens and aldosterone decline significantly. The consequences include sodium depletion and an increase in serum levels of potassium. Patients suffering from Addison’s disease develop symptoms that include fatigue, weakness, anorexia, and changes in ECG such as prolonged QT and PR intervals (Barthel et al., 2019).
The other differential that I would consider is hyperthyroidism. Hyperthyroidism is the elevation of thyroid hormones. Conditions that include Grave’s disease, thyroid cancer, and elevated secretion of thyroid-stimulating hormone cause this disorder. Patients present with complaints such as palpitations, tachycardia, anorexia, and fatigue (Léger & Carel, 2018). The last differential diagnosis is hyperkalemia attributed to secondary causes such as chronic kidney disease, excessive dietary consumption of potassium, and medications. Hyperkalemia causes changes in the ECG such as peaked T waves. Patients also present with symptoms that include muscle weakness, chest pain, and palpitations (Di Lullo et al., 2019).
ORDER A PLAGIARISM FREE-PAPER HERE
The most important information to ask the patient includes her medication use history, dietary habits, and any history of diabetes. Information such as a history of thyroid gland disorders, menstrual cycle changes, kidney disease, and infections such as tuberculosis and fungal infections should be obtained as they increase the risk of metabolic disorders. Diagnostic testing is important to determine the cause of the client’s problem. The recommended diagnostics for the patient include thyroid function tests, complete blood count, liver and renal function tests, insulin-induced hypoglycemia tests, and serum potassium tests (Barthel et al., 2019; Di Lullo et al., 2019; Léger & Carel, 2018). The test will guide the development of accurate treatments for the patient in this case study.
References
Barthel, A., Benker, G., Berens, K., Diederich, S., Manfras, B., Gruber, M., Kanczkowski, W., Kline, G., Kamvissi-Lorenz, V., Hahner, S., Beuschlein, F., Brennand, A., Boehm, B. O., Torpy, D. J., & Bornstein, S. R. (2019). An Update on Addison’s Disease. Experimental and Clinical Endocrinology & Diabetes, 127(2/3), 165–175. https://doi.org/10.1055/a-0804-2715
Struggling to meet your deadline ?
Get assistance on
NSG6320-Practicum I: Adult Health,Adults & Gerontology CP02 Paper
done on time by medical experts. Don’t wait – ORDER NOW!
Di Lullo, L., Ronco, C., Granata, A., Paoletti, E., Barbera, V., Cozzolino, M., Ravera, M., Fusaro, M., & Bellasi, A. (2019). Chronic Hyperkalemia in Cardiorenal Patients: Risk Factors, Diagnosis, and New Treatment Options. Cardiorenal Medicine, 9(1), 8–21. https://doi.org/10.1159/000493395
Léger, J., & Carel, J. C. (2018). Diagnosis and management of hyperthyroidism from prenatal life to adolescence. Best Practice & Research Clinical Endocrinology & Metabolism, 32(4), 373–386. https://doi.org/10.1016/j.beem.2018.03.014
ORDER A PLAGIARISM FREE-PAPER HERE
A patient comes in to see you with new complaints of feeling weak and tired. She also admits to some new palpitations. You get an EKG to assess her heart rhythm and note very tall-peaked T waves.
• In reviewing the endocrine disorders, what are some of your differential diagnosis?
• What would be the most important information to obtain in her history and review of systems?
• What diagnostic tests would you order next?
As in all assignments, cite your sources in your work and provide references for the citations in APA format.
SUO Discussion Rubric (20 Points) – Version 1.2
Course: NSG6320-Practicum I: Adult Health – Adults & Gerontology CP02
ORDER A PLAGIARISM FREE-PAPER HERE
|
Response |
No Submission
0 points |
Emerging (F-D: 1-4)
4 points |
Satisfactory (C: 5-
6) 6 points |
Proficient (B: 7-8)
8 points |
Exemplary (A: 9-
10) 10 points |
Criterion Score |
|
Quality of Initial Posting |
No initial posting exists to evaluate. |
The information provided is inaccurate, not focused on the assignment’s topic, and/or does not answer the question(s) fully. Response demonstrates incomplete understanding of the topic and/or inadequate preparation. |
The information provided is accurate, giving a basic understanding of the topic(s) covered. A basic understanding is when you are able to describe the terms and concepts covered. Despite this basic understanding, initial posting may not include complete development of all aspects of the assignment. |
The information provided is accurate, displaying a good understanding of the topic(s) covered. A good understanding is when you are able to explain the terms and topics covered. Initial posting demonstrates sincere reflection and addresses most aspects of the assignment, although all concepts may not be fully developed. |
The information provided is accurate, providing an in- depth, well thought- out understanding of the topic(s) covered. An in- depth understanding provides an analysis of the information, synthesizing what is learned from the course/assigned readings. |
/ 10 |
| Participation | No Submission
0 points |
Emerging (F-D: 1-2)
2 points |
Satisfactory (C)
3 points |
Proficient (B)
4 points |
Exemplary (A:)
5 points |
Criterion Score |
| Participation | No Submission
0 points |
Emerging (F-D: 1-2)
2 points |
Satisfactory (C)
3 points |
Proficient (B)
4 points |
Exemplary (A:)
5 points |
Criterion Score |
|
Participation in Discussion |
No responses to other classmates were posted in this discussion forum. |
May include one or more of the following: *Comments to only one other student’s post. *Comments are not substantive, such as just one line or saying, “Good job” or “I agree. *Comments are off topic. |
Comments to two or more classmates’ initial posts but only on one day of the week. Comments are substantive, meaning they reflect and expand on what the other student wrote. |
Comments to two or more classmates’ initial posts on more than one day. Comments are substantive, meaning they reflect and expand on what the other student wrote. |
Comments to two or more classmates’ initial posts and to the instructor’s comment (if applicable) on two or more days. Responses demonstrate an analysis of peers’ comments, building on previous posts. Comments extend and deepen meaningful conversation and may include a follow-up question. |
/ 5 |
| Writing | No Submission
0 points |
Emerging (F-D: 1-2)
2 points |
Satisfaction (C)
3 points |
Proficient (B)
4 points |
Exemplary (A)
5 points |
Criterion Score |
| Writing | No Submission
0 points |
Emerging (F-D: 1-2)
2 points |
Satisfaction (C)
3 points |
Proficient (B)
4 points |
Exemplary (A)
5 points |
Criterion Score |
|
Writing Mechanics (Spelling, Grammar, Citation Style) and Information Literacy |
No postings for which to evaluate language and grammar exist. |
Numerous issues in any of the following: grammar, mechanics, spelling, use of slang, and incomplete or missing citations and references. If required for the assignment, did not use course, text, and/or outside readings (where relevant) to support work. |
Some spelling, grammatical, and/or structural errors are present. Some errors in formatting citations and references are present. If required for the assignment, utilizes sources to support work for initial post but not comments to other students. Sources include course/text readings but outside sources (when relevant) include non- academic/authoritati ve, such as Wikis and .com resources. |
Minor errors in grammar, mechanics, or spelling in the initial posting are present. Minor errors in formatting citations and references may exist. If required for the assignment, utilizes sources to support work for both the initial post and some of the comments to other students. Sources include course and text readings as well as outside sources (when relevant) that are academic and authoritative (e.g., journal articles, other text books, .gov Web sites, professional organization Web sites, cases, statutes, or administrative rules). |
Minor to no errors exist in grammar, mechanics, or spelling in both the initial post and comments to others. Formatting of citations and references is correct. If required for the assignment, utilizes sources to support work for both the initial post and the comments to other students. Sources include course and text readings as well as outside sources (when relevant) that are academic and authoritative (e.g., journal articles, other text books, .gov Web sites, professional organization Web sites, cases, statutes, or administrative rules). |
/ 5 |
Overall Score