West Visayas State University

COLLEGE OF NURSING
La Paz, Iloilo City

Nursing Competency Appraisal Case Stu!y

Name of Patient: SB Age: 25 Chief Complaint: Diffic lty of !reathing "mpression#Diagnosis: cystic fi!rosis$ pancreatitis$ %istory: Ca casian& Diagnose' (ith cystic fi!rosis at ) months of age& *early hospitali+ations since chil'hoo' ' e to pne monia an' 'iarrhea& Porthacath inserte' si, months ago& C rrent me'ications: Pancrea+e$ Prilosec$ % mi!i'$ Sal! tamol ne! li+ations$ - ltivitamins$ to!ramycin ne! li+ations

Notes Day 1

Physician.s /r'ers

A!mit to room o6 c%oice Assessment" Nasal polyps, C%est ra!iograp%, C+C, electrolyte panel coarse crac#les R lung, a$sent Sputum culture an! sensiti7ity $reat% soun!s L lo&er lo$e, A+G r%onc%i, e'piratory &%eezes, Pulmonary 6unction tests clu$$ing , $arrel c%est, Li7er 6unction tests, serum al$umin purulent sputum, O sat ()* A$!ominal ultrasoun! +,I -. #g/m +UN, Crea, 8$ A-C Generalize! e!ema Postural !rainage an! c%est p%ysiot%erapy A$!ominal pain, A$!ominal C+G e7ery 9 %ours !istention 8umi!i6ie! o'ygen t%erapy at ) lpm 0emp12(345C/a'illa :iet" %ig% calorie, %ig% 6at, %ig% protein, %ig% car$o%y!rates I;F" PNSS ,e!ications" :ornase alp%a ne$s 8ypertonic saline ne$s Pancrelipase Omeprazole +eclomet%asone ne$s Insulin as per C+G result I7aca6tor Supplemental 7itamins Day 2 A+G" Respiratory 6ailure For CPAP mas# PEEP < cm 8 =, FiO <=*

Prepared by: NCA facilitators