Turb and Kyphoplasty Care Plan

2084 WordsApr 14, 20139 Pages
Care Plan: TURB and Kyphoplasty Recovery Situation and Background E.P. is an 88-year-old Caucasian male. He was admitted on 02/18/13. His code status is full code, and he declines to bring in his advanced directive. He reports that he is 68.5” tall, and his actual weight is 165 pounds. He and his wife are the sources of information, and they are reliable. His blood pressure is 124/62, taken on his right arm in a lying position, his oral temperature is 99.8, his right radial pulse is 74 beats per minute, his respiration rate is 16 breaths per minute and his pulse oximetry reading is 92 on room air. He is allergic to latex, cephalexin and sulfa drugs, with a reaction of hives, and to IV dye, with a reaction of moderate rash. He was…show more content…
Bladder cancer also has another distinguishing sign: hematuria. Hematuria means “blood in urine”; this blood can be visible by the naked eye, or found by a microscopic examination of the urine. Bladder cancer is the fourth most common cancer in males, with approximately 72,570 new cases being diagnosed in the United States each year. The most prevalent risk factor for bladder cancer is tobacco smoking. (“Bladder Cancer”, 2013) E.P. denies history of smoking. The most recent procedure E.P. received was kyphoplasty of his L1 and L3 vertebrae. Kyphoplasty is a treatment for compression fractures of the vertebrae, a condition commonly caused by osteoporosis. Osteoporosis affects 10 million Americans, and approximately 2,000,000 of these are men. An estimated 750,000 people are affected by compression fracture annually. While most of these are women, compression fracture is also a concern for elderly men. Compression fracture signs and symptoms include kyphosis, or hump-back distortion of the vertebral column, and back pain. (“Compression Fractures”, 2013) Common compression fractures are wedge fractures, which E.P. has in his L1 and L3 vertebrae. These were diagnosed by an 02/06 X-Ray. On 02/19, E.P. had a CT scan without contrast, confirming the X-Ray results. The results of the scan and X-Ray were as follows: “severe wedge compression fracture deformity with near vertebral plana at L3 and a moderate wedge

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