Published Apr 18, 2009
HB_angel_2003
2 Posts
I am doing a case study and need help making a diagnosis. The patient is a 30 year old female with flu lkie symptoms with fatigue, afternoon fever, night sweats, weight loss, abdominal cramping, and significant diarrhea. She had taken in very little water over the few days before admission to the hospital. Blood test showed a hematocrit: 56%
Leukocytes: 1000/ cu mm
serum potassium: 3.2 mEq/L
CD4 T-cell counts:
Antibiotics were givin to treat the infection and rehydrated with fluid containing potassium. The hematocrit reversed itself after fluids were given and then she became anemic.
I need a diagnosis and treatment for the disorder
deftonez188
442 Posts
First thing that pops in my head would be tuberculosis based on the symptoms, but that's my vague recollection from a few semesters back - look up TB and see if the symptoms are congruent, the treatment is going to be a combination of medications for I believe up to 6 months.
Good luck.
Not to double post, but I can see for sure she is dehydrated based on your statement of little intake and the fact that with a hematocrit that high she has some hardcore hemoconcentration.
Prettyladie
1,229 Posts
i thought TB as well. i could be wrong though.
suehernando, CNA
7 Posts
I came up with TB with the symptoms and lab values. My book gave me two nursing dx of risk for infection and ineffective therapeutic regimen management. Good luck.
LovingNurse, BSN, RN
200 Posts
Start by looking at that CD4 T-cell count That sort of jumps off the page, then see if the pieces of the puzzle fit what you come up with.
prankin
1 Post
With the blood count the way it appears, it looks like you may have got yourself a dx of HIV.