Case Study of Diagnosis of Neutropenia Patient

movement Study of diagnosing of Neutropenia tolerant A 45 year old physically fit long-suffering was admitted to infirmary avocation several visits to his frequent Practitioner (GP) where is was quetch of decreased appetite, constipation, fever, chills, headaches, cramping, vertigo and respiratory problems later experiencing some convert fever like symptoms one calendar week ago. He was commenced on Roxithromycin 150mg b.d and his GP request downslope tests that showed his had neutropenia (low albumin cell count) (Harris et al 2006, p 1185) and thrombocytopenia (low platelet count) (Harris et al 2006, p. 1704). Two eld later he was non opinion every transgress and the GP arranged a office x-ray (CXR) which the longanimous of to micturate reversible pneumonia he was than admitted to the hospital. This undertake will list important events that took stake during the diligents admission to hospital and discuss iii of these events in fact with contemporary distinguish to support the writers discussion. The search will than tone what has been learnt through this font study in relation to next professional perform as a new receive registered nurse in accordance with the Australian Nursing & midwifery Council (ANMC) talent standards. twenty-four hour period 2 why did the unhurried not received group O until his impregnation got to 70% there is no mention of the interference plan to or from nurse lag. later(prenominal) that mean solar day the forbearing was transferred to main shelter, the nursing staff raise the issue that the long-suffering needed to be in the intensive care whole (ICU), the diligent was reviewed by respiratory medical student and was decided to not to transfer unhurried to ICU. This long-suffering needful close observe payable to saturation decrease and as a impudently registered nurse we do not have the experience or the time to proctor this tolerant in a ward environment (ANMC 2006) co mpetency master Practice. forbearing safety, patient of advocacy. daytime 5 The patient was noted to be still hectic and was logical other CXR as the Computed mental imagery Scan (CT scan) was not preformed, why had this patient not had the CT scan that was coherent (ANMC 2006) competency Professional Practice. Team conference strategies, string of command. later that day it was similarly noted that the patient had a PR Bleed and a referral was made to the gastroenterologist. No mention of construct or any investigation taken place to evaluate the PR ladder no blood tests were ordered to desex patients status. Patient advocacy, patient safety. solar day 6 Respiratory medico saw the patient and noted he had severe zygomorphous pneumonia, possible gussy up marrow inhibition and anaemia of an mystic cause, no chat between medical officers as the patient had a PR bleed the day before and is neutropenic and thrombocytopenic. The Respiratory Physician pass on an inf ectious diseases review. Patient advocacy, conflict management, documentation. Day 7 It was attested again that the patient had low saturations and was febrile. He was seen by the pathogenic Diseases Specialist and was ordered more tests and a lung biopsy. The lung biopsy was considered to be of amply bump due to the patients condition by a thoracic Surgeon. If this patient was a high risk why was he not in ICU as requested by the nursing staff? Conflict management, chain of command, patient advocacy.