NGN Case Study: Immunity Patient 1 & 2

Patient 1 info: - Answer Client is a 22-year-old woman brought into the emergency department (ED) by a friend. Client reports of facial swelling and pain especially in the mouth area, making it difficult to talk and swallow. Her eyes, lips, and tongue appear extremely edematous with erythema. Client is also experiencing pruritis on trunk area and bilateral lower extremities. Hives noted on abdomen and bilateral lower legs. Client states she went to her primary doctor a couple of days ago for signs of a urinary tract infection. She was prescribed an antibiotic and has taken two doses so far. She does not remember the name of the medication. Client has a history of hypothyroidism and takes levothyroxine 100 mcg per day. Client is alert and oriented with cranial nerves I to XIII intact Drag one condition and one client finding to complete the sentence. - Answer The client appears to have [anaphylaxis] based on the client finding of [angioedema]. Patient 2 info: - Answer A 34-year-old woman with a history of bipolar disorder and an allergy to tree nuts. The client has experienced one hypersensitivity reaction as a child. However, as an adult she is careful to avoid ingestion of tree nuts and thought the sensitivity went away. She was unaware that the new dish at the restaurant had crushed cashews in the sauce. This evening patient was eating at a local restaurant. After eating several bites of a new dish, she began to experience itching and tightness in the back of her throat. Lips became red and edematous. The client described difficulty breathing and EMS notified. Emergency services arrived within 6 minutes. The client was hypoxic but awake on their arrival. The client received oxygen at 8 L per nasal cannula and 0.3 mg of epinephrine intramuscularly and a bolus of normal saline intravenously in route to the hospital.