Mrs Catherine Prakash is a 34-year-old woman who presented to her…
Question Mrs Catherine Prakash is a 34-year-old woman who presented to her… Mrs Catherine Prakash is a 34-year-old woman who presented to her General Practitioner (GP) for her yearly medicalreview. During her breast check the doctor found a palpable lump in her right breast. Catherine told her doctorthat she noticed the lump about 6 months ago but was not worried as she was still breast feeding her 12-month-oldbaby and having “lumpy”breasts was normal for her. The GP ordered an urgent breast ultrasound. The ultrasoundresults show a small solid mass in her right breast. Catherine was referred to a breast surgeon for continued care.After further investigations by Dr. Middleton (breast surgeon) Catherine was diagnosed with Invasive Ductal breastcarcinoma stage IIA. Catherine was scheduled for a Right Breast Partial Mastectomy and removal of several axillarylymph nodes the following week.Catherine’s past history includes:Medical: diagnosed with type 2 diabetes at 28 years old. Catherine weighs 91kg.Social: Catherine is married and has two children aged four years old and 12 months old. Catherine is a civil engineerworking part-time with her local council.Catherine was admitted to her local private hospital one day prior to her surgery so that the Clinical Nurse Consultatnt(CNC) who specialises in breast care can have a private consultation with her to discuss the surgery, postoperativeexpectations and ongoing care including the follow-up radiotherapy that will commenced in six weeks’ time.Catherine’s surgery went well. Post operatively on return to the ward Catherine’s vital signs are:- BP 144/85mmHg, HR 89bpm, HR 16bpm, SpO2 96% on RA (room air)- BGL (Blood Glucose Level) 5.2mmol/L- Current pain score 3/10Catherine has insitu:- a Haemovac drain with 10mL of bright red blood- an intact dressing on her chest incisionCatherine has been ordered:- I.V. Sodium Chloride 0,9% 1000mls 8 hourly-Paracetamol 1 gram P.O. 6 hourly-Morphine 2.5mg I.V. 6 hourly PRN-Metoclopramide 10mg I.V. 8 hourly PRNGuided Questions:Question 1. 30 marksExplain the pathogenesis of invasive ductal breast carcinomaExplain how the administration of Morphine alters the conscious perception of pain.Explain the pathogenesis of Lymphoedema that may occur for women who have undergone axillary lymph node removal during breast cancer surgery.Please link the aswer to the case study. Health Science Science Nursing NURSING 401207 Share QuestionEmailCopy link Comments (0)
