TRINITY UNIVERSITY OF ASIA

Saint Luke’s College of

Nursing
E. Rodriguez Sr. Ave., Cathedral Heights
Quezon City, Philippines

“INGUINAL HERNIA”

Case Analysis Presentation about Inguinal Hernia

Presented to Amang Medical Center

In Partial Fulfillment of the Requirements

In Related Learning Experience for the
Degree of Bachelor of Science in Nursing

Submitted by:
Edgar Niquo T. Enriquez
Batch Kairos
3NU01

Submitted to:
 February 14, 2020

I. INTRODUCTION:
This is the case Inguinal Hernia 3 years old, male, who was admitted to Amang Rodrigez Medical
Center on February 11, 2020 due to a bulge mass found on the groin.
DEFINITION:
An inguinal hernia is a protrusion of abdominal-cavity contents through the inguinal canal.
Symptoms are present in about 66% of affected people. This may include pain or discomfort
especially with coughing, exercise, or bowel movements. When part of an organ protrudes
through an abnormal opening or in an abnormal way, this is called a hernia. A groin (inguinal)
hernia occurs when part of the intestine bulges through a weak spot in the abdominal wall at
the inguinal canal. The inguinal canal is a passageway through the abdominal wall near the
groin.
Inguinal hernia signs and symptoms include:
 A bulge in the area on either side of your pubic bone, which becomes more
obvious when you're upright, especially if you cough or strain.
 A burning or aching sensation at the bulge.
 Pain or discomfort in your groin, especially when bending over, coughing or
lifting

Some risk factors for inguinal hernia include:

 fluid or pressure in the abdomen.
 heavy lifting, such as weightlifting.
 repetitive straining during urination or bowel movements.
 obesity.
 chronic cough.
 Pregnancy

II. PATIENT’S PROFILE

DEMOGRAPHIC DATA:
 Name:
 Address:
 Date of birth:
 Age:
 Sex:
  Nationality:
 Religion:

CHIEF COMPLIANT:
 Bulge Mass
ADMITTING DIAGNOSIS:
Inguinal Hernia

HISTORY OF PRESENT ILLNESS:

At 3 weeks of age noted that patient have a right inguinal mass, prominent when
patient is crying. Mass is reducible when patient is relaxed. No changes in bowel
movement, no abdominal distention, no difficulty urinating. Patient have good suck and
activity. Consult was done at local hospital and advice surgery once the patient is older.

III. DIAGNOSTICS
HEMATOLOGY (CBC,PLT) ON FEBRUARY 11, 2020

TEST RESULT UNITS REFERENCE VALUES

WBC COUNT 10.76 - 10^3/uL 5 – 10
RBC COUNT 4.84 - 10^6/uL M:4.6 – 6.2
F:4.2 – 5.2
HEMOGLOBIN 12.3 - g/dl M:14.0 – 18.0
F:12.0 – 16.0
HEMATOCRIT 37.8 -% M:40.0 – 54.0
F:35.0 – 47.0
MCV 78.0 - fl 80.0 – 100.0
MCH 25.3 - pg 27.0 – 32.0
MCHC 32.4 - g/dl 32.0 – 36.0
PLATELET COUNT 362 10^3/uL 150 - 450
SEGMENTERS(%) 42.9 -% 40.0 – 60.0
LYMPHOCYTES(%) 45.9 -% 20.0 – 40.0
MONOCYTES(%) 3.8 -% 2.0 – 8.0
EOSINOPHILL(%) 4.9 -% 1.0 – 6.0
BASOPHIL(%) 2.5 -% 0.1 – 1.0
URINALYSIS – FEBRUARY 11, 2020
MACROSCOPIC: MICROSCOPIC
Color: YELLOW Pus Cells: 1-3
Transparency: CLEAR Epithelial Cells: Rare
CHEMICAL STRIP Mucus Threads: Occational
Reaction: Acidic
Specific Gravity: 1.010
Sugar: Negative
Protein: Negative
Ketone: Negative
Urobilinogen: Normal
Bilirubin: Negative
Nitrite: Negative
Erythrocytes: Negative
Leukocytes: Negative
Ascorbic Acid: N/A

BLOOD CHEMISTRY – FEBRUARY 11, 2020

TEST NORMAL VALUES UNIT RESULT

Sodium 135-145 mmol/L 145.0
Potassium 3.5-5.5 mmol/L 4.37

Drug Mechanism Indication/ Side Effects/ Nursing

 Name of Action Contraindications Adverse Considerations
Reaction
Generic Bactericidal: Indication: Side effects:  Assess any history
Name: Inhibits For treatment of many  Mucus of allergy with this
Cefuroxime synthesis of different types of  Rush drug.
bacterial cell bacterial infections such  Rash  Culture infection,
Brand Name: wall, causing cell as bronchitis, sinusitis,  Difficulty and arrange for
Ceftin death tonsillitis, ear infection, in sensitivity tests
skin infections, Breathing before and during
Classification: gonorrhea, and urinary  Unusual therapy if expected
Antibiotic, tract infection. tiredness response is not
Cepholosporin  Fatigue seen.
Contraindication:  Itching or  Give oral drug with
Dose: 750mg Contraindicated with irritation food to decrease GI
allergy cephalosporin or Adverse effects: upset and enhance
Route: penicillins.  Severe absorption.
Intravenous Use cautiously with renal diarrhea  Have vit. K available
failure, lactation,  Bleeding in case
pregnancy  Lethargy hypoprothrombine-
 Anorexia mia occurs.
 Decreased  Instruct the pt to
platelets report any
Hct unusualities.
IV. DRUG STUDY

CEFUROXIME

PARACETAMOL
 Drug Mechanis Indication/ Side Effects/ Nursing
Name m of Action Contraindications Adverse Considerations
Reaction

Generic Paracetamol Indication: Hematologic: Assess patient’s fever or

Name: may cause Hemolytic anemia, pain, type of pain,
Paracetamol analgesia by To relieve mild to moderate leukopenia, location, intensity,
inhibiting CNS pain due to things such neutropenia, Duration, temperature,
Brand Name: prostaglandin as headache, muscle pancytopenia, and diaphoresis.
synthesis. The and joint pain, backache thrombocytopenia.
Classification: mechanism and period pains. Itis also Assess allergic reaction,
Analgesic of morphine is used to bring down a high Hepatic: rash urticaria; if this
believed to temperature. Liver damage, occur, the drug may have
Dose: involve jaundice to be discontinued.
decreased Contraindication:
Route: permeability of Metabolic: Teach patient to
Intravenous the cell membrane Hypersensitivity to Hypoglycemia, recognize signs of chronic
to sodium, which acetaminophen or over dose: bleeding,
results in phenacetin; use with Skin: bruising, malaise, fever,
diminished alcohol Rash, urticuria sore, throat.
transmission
of pain impulses Tell patient to notify
therefore prescriber for pain/ fever
analgesia. lasting for more than 3
days.