P.J. is a 74-year-old female who has been seen multiple times in…

Question Answered step-by-step P.J. is a 74-year-old female who has been seen multiple times in… P.J. is a 74-year-old female who has been seen multiple times in the past with a complex medical history. Most recently, she was discharged one month ago after a 14-day stay for gangrenous open cholecystectomy. The gangrene extended into the common bile duct and she suffered a bile leak postoperatively. On this visit to the emergency room, she is complaining of diminished vision in the left eye for the past seven days. She is currently taking the following medications: • valsartan (Diovan) 160 mg/25 mg PO daily • amitriptyline (Elavil) 25 mg PO daily • aspirin (Ecotrin) 81 mg PO daily • alprazolam (Xanax) 0.25 mg every 6 hours PRN for anxiety Subjective Data • States her vision has become “fuzzy and distorted” in the left eye • States, “I survived that horrid ordeal with my gallbladder and now I have trouble with my vision.” • Never married; has a good support system with friends and caretakers Objective Data Physical Examination • Blood pressure 119/79, pulse 82, temperature 97.7° F, respirations 16 • Alert and oriented to person, place, and time • Diminished breath sounds bilateral lower lobes posteriorly • Oxygen saturation 96% on room air Discussion Questions 1. Name six potential causes of P.J.’s blurry vision.  2. What additional health history information would you obtain from P.J.?  3. What will you include in P.J.’s focused assessment?  Case Study Progress A consult is sent to the on-call ophthalmologist. The initial exam results show a scar in the central area (macula), suggesting age-related macular degeneration. The ophthalmologist feels at this point that the treatment should be aimed at preventing further vision loss and schedules P.J. for photodynamic therapy.  4. What are the early signs of age-related macular degeneration (AMD)?  5. What tests can be done to determine if P.J. has age-related macular degeneration?  6. What risk factors are associated with macular degeneration?  7. What diet related teaching will you provide P.J.?    Health Science Science Nursing Share QuestionEmailCopy link Comments (0)

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