NUR 631 Week 10 Assignment: Gastrointestinal Case Study Essay
Review the “Gastrointestinal Case Study” resource.
Complete the table in the resource and then respond to the following in an essay of 1,000-1,250 words.
Was Mrs. Miller appropriate in taking the advice of her neighbor for a daily aspirin? Why or why not?
How are the mucosal protective effects of prostaglandins altered with NSAID use? How do they contribute to the development of a peptic ulcer associated with aspirin or NSAID use? Why is there an apparent suddenness of the bleeding? Why did she not experience pain as a warning signal? What are other risk factors associated with aspirin or NSAID use? Research and fill in the normal values for the table. Include the table in your essay.
Evaluate the findings and give an explanation as to why abnormal lab values are seen.
Evaluate Mrs. Miller’s CBC. What are your findings? Give an explanation for any abnormal findings.
Among the results of her initial laboratory tests was an elevated BUN level. What is the reason for the elevated BUN?
Based on this patient’s pathology and findings, what would you expect to see for her indirect and direct bilirubin
levels? Why?