CENTRAL LUZON DOCTORS' HOSPITAL EDUCATION INSTITUTION

DEPARTMENT OF GRADUATE STUDIES

MASTERS OF SCIENCE IN NURSING

ADVANCE
PATHOPHYSIOLOGY
CLINICOPATHOLOGIC CONFERENCE

MSN 1-C
Discussion
Points
Differential Diagnoses of the case
Nursing Diagnoses for the case
Patient's Diagnosis in
Pathophysiological Diagram
ABG Interpretation
Caput succedaneum vs cephalohematoma vs subgaleal hematoma,
R/O ABO incompatibility

To consider Immuno deficiency disorder vs HIV VS SYNDROME

Congenital Heart Disease Rule out Ventral Septal Defect

Disseminated Intravascular Coagulation

Anemia prob secondary to Hemolysis vs Sepsis

Septic Shock

Endocarditis secondary to candidiasis

Nursing Diagnosis
Risk for bleeding (active) due to trauma injury (forceps delivery).

Risk for Infection related to Inadequate acquired immunity.

Hyperthermia related to inflammatory process.

Fluid volume deficit related to failure of regulatory mechanism.

Ineffective tissue perfusion related to impaired transport of oxygen across alveolar and on capillary membrane.

Impaired gas exchange related to immature pulmonary functioning.

Impaired parent/infant attachment related to neonates physical illness and hospitalization.

Interrupted breastfeeding related to neonate’s present illness as evidenced by separation of mother to infant.

Ineffective thermoregulation related to prematurity as evidenced by lack of subcutaneous fat.

Neonatal Jaundice related to premature birth as evidenced by total serum level of 15.02.
 FORCEPS ASSISTED DELIVERY

DIAGNOSIS
Prematurity, Neonatal Pneumonia, Neonatal Sepsis
secondary to Nosocomial Infection (Culture positive for K. RUPTURED EMISSARY VEINS
Pneumonia, C. Albicans); Disseminated Intravascular
Coagulopathy; Subgaleal Hematoma secondary to forcep
delivery
HEMORRHAGE INTO THE DIFFERENT
LAYERS OF THE SCALP

RBC (3.0), HGB (90)

SIGNIFICANT AND PERSISTENT ANEMIA HEMIC MURMUR SUBGALEAL HEMATOMA
HCT (0.312)

CLASSIC SIGNS BONE MARROW POOR END TISSUE PERFUSION BREAKDOWN OF CONSUMPTION OF
OF SHOCK COMPENSATION THE HGB FROM COAGULATION
PRODUCING THE HEMATOMA FACTORS AND LOW
IMMATURE BLOOD RENAL LIVER POOR PLATELET
↑HR (168BPM), PALLOR, CELLS FAILURE FAILURE CEREBRAL
↓ACTIVITY, MILD PERFUSION HYPERBILIRUBENEMIA
RESPIRATORY JAUNDICE <24 HOL, TB 392.63
(PLT 45 ON THE 14TH
DISTRESS) RBC 50-60 IN (PHOTOTHERAPY INITIATED)
PRESENCE OF ASCITES APNEA, CYANOSIS, HD) INR 1.02 33RD HD,
BLAST CELLS THE UA BRADYCARDIA
PT 17.02 , APTT 60.7
RETIC COUNT 8.3%
APOPTOSIS
RESPIRATORY
UMBILICAL
CATHETERI-ZATION DISTRESS
DUE DIFFICULT SYNDROME
PERIPHERAL IV SEPSIS
ACCESS DISSEMINATED
(PROLONGED)
FRESH BLOOD ON OGT & ET INTRAVASCULAR
GRADE 3 HOLOSYSTOLIC
MURMUR, FEVER, >HR, >RR ENDOCARDITIS COAGULATION DEATH
THANK YOU