Essay about Mary the Nursing Student

1827 WordsMay 1, 20138 Pages
Mary the Nursing Student Mary is 39 -year-old LPN and single mother who is attending a local community college to prepare for an A.S. degree in nursing so she can then become an RN. Mary has not been feeling well for several months. She has had bouts of nausea, a low fever, and has found that she no longer enjoys eating and smoking as much as she used to. She has also noticed that her urine is darker than usual and she has yellowing of her eyes. She has noted that she has a puffy appearance. Results of blood tests at her doctor’s office reveal that her ALT, AST , alkaline phosphatase, and bilirubin levels are elevated and that she also has an elevated count of lymphocytes. Further tests reveal that she is positive for the presence…show more content…
P 936 text Hepatitis C, when looking at the endocrine system, can cause thyroid disease as well as type 2 diabetes mellitus. If the liver is not breaking down lipids, amino acids, and proteins that are vital to these systems and hormones then it will result in the before mentions dysfunctions. http://www.ncbi.nlm.nih.gov/pubmed/19079271 What impact does the illness have on the blood’s ability to clot? Include the role of vitamin K and the specific clotting proteins affected. Also discuss platelet production. Describe the test that is typically run to test the blood’s clotting ability. The liver becomes so diseased and damaged that it can no longer produce appropriate amounts of clotting factor and hormones to make platelets. “Vitamin K must be present in order for the liver to synthesize some of the clotting factors, including prothrombin, interleukin-6, multi-CSF, and fibrinogen.” p 664 If the blood is unable to clot then the patient will continue to bleed to the point that a liver transplant is necessary. Prothrombin a peptide hormone produced in the kidneys that accelerates platelet formation. Interleukin-6 is a hormone that stimulates platelet formation. Multi-CSF is a hormone that stimulates platelet production by promoting the formation and growth of megakaryocytes. p.660 If all of these hormones are
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