Pathophysiology and Nursing Management of Clients' Health
NRS-410V
July 21, 2019
, CASE STUDY MR. C 2
Case Study Mr. C
Clinical Manifestations of Mr. C.
In the case study of Mr. C, he is a 32-year-old single male who is looking for information
about bariatric surgery due to being obese. He states that he works at a catalog center and has
always been overweight since childhood and has gained approximately 100 pounds over the last
2-3 years. Prior medical evaluations have not shown any metabolic disease, but he states that he
has sleep apnea and high blood pressure which he tries to control by restricting sodium in his
diet. He states that he has increased shortness of breath during activity, swollen ankles, and
pruritis during the last 6 months. The objective data reveals that he is 68 inches and weighs
134.5 kg, BP of 172/98, HR 88, RR 26, 3+ pitting edema bilateral feet and ankles, fasting blood
glucose is 146 mg/dL, total cholesterol of 250 mg/dL, triglycerides of 312 mg/dL, HDL 30
mg/dL, serum creatinine 1.8 mg/dL, and a BUN of 32 mg/dL.
Based upon the height and weight of Mr. C, his BMI is 47.9 which is morbidly obese and
that would put him at risk for coronary heart disease, type 2 diabetes, and hypertension. His vital
signs which included his blood pressure, heart rate and respirations indicate hypertension stage 2,
which he has admitted to having. He stated he tries to control it with dietary restriction through a
low sodium diet, however his blood pressure is still high, which suggests that he has
uncontrolled hypertension. A fasting blood glucose reading of 146 and his BMI are be an
indication for diabetes. His lipid panel indicates that he has hyperlipidemia through his total
cholesterol of 250, triglycerides of 312, and HDL of 30. He also has 3+ pitting edema bilateral
feet and ankles, serum creatinine 1.8, and a BUN of 32, which are indications of chronic kidney
disease. Also, he stated that he was always heavy even as a child and one third of the children in
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