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Medical Surgical Nursing
[A CASE STUDY OF A PATIENT WITH DIABETES RIGHT FOOT ULCER] -
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CHAPTER FOUR
MANAGEMENT OF THE PATIENT WITH DIABETES MELLITUS
4.0 PHYSICIAN SYSTEMIC REVIEW
The findings made on the patient based on systemic review are as follows
 PHYSICAL EXAMINATION
Physical examination of the extremity having a diabetic ulcer can be divided into 3broad categories
 Examination of the ulcer and the general condition of the extremity
 Assessment of the possibility of vascular insufficiency
 Assessment for the possibility of peripheral neuropathy
 CARDIO VASCULAR SYSTEM
 Blood pressure 150/90mmHg
 Pulse rate 88beat per minute
 Apex beat 74beats per minute
 Heart sound No murmur
RESPIRATORY SYSTEM
Respiratory rate is 22 cycles per minutes. The chest expansion is clinically clear. There is no cough and chest pain
CENTRAL NERVOUS SYSTEM
The patient was conscious, alert and well oriented to time, place and person. She also responded to question appropriately
GASTRO – INTESTINAL TRACK
There was no history of abdominal pain, abdominal distention, loss of bladder or bowl tone, vomiting with loss of appetite
MUSCULO SKELETAL SYSTEM
There is tinging sensation and weakness in the lower limbs
REPRODUCTIVE SYSTEM
Pruritus of the vulva develops due to infection by fungi which thrive better on glucose deposit from the urine. The vulva becomes swollen and inflamed as a result of the frequent itching or irritation.
4.3 PHYSICIAN DIAGNOSIS
The diagnosis made by the doctor based on systemic review and result of laboratory investigation, the patient was discovered to be suffering from DIABETES MELLITUS RIGHT FOOT ULCER
4.4 MEDICAL MANAGEMENT OF THE PATIENT
The drug prescribe for the patient are as follows
Tab Nifedipine 20mg bd daily
Tab Glucophage 500mg b.d
Tab Captopril 25mg twice daily
Subcutaneous soluble insulin 20iu 8hourly
Tab vitamin B complex
4.5 PHARMACOLOGY OF DRUG USED ON THE PATIENT
Mustapha (2010), pharmacology of drug used on the patient are as follows
Pharmacology of drug used on patient
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TABLE OF CONTENTS - [ Total Page(s): 1 ]TABLE OF CONTENTTitle page Certification Dedication Acknowledgement Table of content CHAPTER ONE INTRODUCTION Background of the study Purpose of the study Significant of the study CHAPTER TWOLITERATURE REVIEW OF DIABETES MELLITUS FOOT ULCER Definition of diabetic foot ulcer Causes of diabetes foot ulcer Risk factor for diabetes foot ulcer Foot ulcer assessment and classification Pathophysiology of diabetes foot ulcer Clinical manifestation of diabetes foot ulcer Complication ... Continue reading---
CHAPTER ONE - [ Total Page(s): 1 ]CHAPTER ONE1.0 INTRODUCTION1.1 BACKGROUND OF THE STUDYThis case study was carried on Alhaja A.H, a 60years old trader who has right foot ulcer, patient was brought to accident and emergency unit on 30th march, 2017 with clinical diagnosis of right foot ulcer and later transfer to ward 2. Approximately 15 to 20 percent of estimated 16million persons in the united state with diabetes mellitus will be hospitalized with a foot complication and also estimated in Nigeria (Har ... Continue reading---
CHAPTER TWO - [ Total Page(s): 7 ]CHAPTER TWOLITERATURE REVIEW OF DIABETES MELLITUS FOOT ULCER2.0 INTRODUCTIONThis chapter reviewed related literatures of diabetic foot ulcer based on the following sub-heading Definition of diabetic foot ulcer  Causes of diabetes foot ulcer  Risk factor of diabetic foot ulcer  Assessment and classification of Diabetic foot ulcer  Pathophysiology of Diabetic foot ulcer Clinical manifestation of diabetic foot ... Continue reading---
CHAPTER THREE - [ Total Page(s): 2 ]CHAPTER THREE3.1 DEMOGRAPHIC DATA AND HISTORY OF THE PATIENT Particular of a patient with diabetes mellitus foot ulcer  Name Alhaja A.H  Age 60years  Sex female Ethnicity Yoruba State of origin Kwara state  Folder number 01-31- ... Continue reading---
CHAPTER FIVE - [ Total Page(s): 1 ]CHAPTER FIVESUMMARY, CONCLUSION AND RECOMMENDATION5.1 SUMMARY This care study was carried out on a 65years old woman Alhaja A.H who was admitted on 28th march 2017 in to the female medical ward (ward2) of the Kwara state general hospital Ilorin, with diagnosis of right foot ulcer secondary to diabetes mellitus Different literature was reviewed based on the patient condition under the following headings:- definition of the diabetes mellitus, causes, incidence, anatomy and physiology ... Continue reading---
REFRENCES - [ Total Page(s): 1 ]REFERENCEMustapha, R.O (2010) Pharmacology for all health profession. 3rd Edition, Ilorin, Gorge Bullet LTDRoss, J.S & Wilson, K.W.J (2010). Anatomy and Physiology in Health and Illness. 9th edition, London, Harrison, R.O (2011) Textbook for Medicine with Relevant Anatomy and Physiology. 2nd Edition, Bougary Suffolk, Chaucer press ... Continue reading---
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