A case study of erratic parasitism

General Objective:
To be familiarized and to provide an effective nursing care to a patient
diagnosed with Erratic Parasitism through understanding the patient history,
disease process and management.

Specific Objective:
I.

Discuss the anatomy and physiology, pathop hysiology,

usual clinical manifestations and possible complicationsof this
condition.

II.

To have knowledge and be familiarized to the client

medications.

III.

To formulate a workable nursing care plan on the subjective

and objective datas gathered through nursepatient interaction to be able to help the patient recover.

Introduction:
The word erratic means while parasitism is association of two different
species where one lives at the extent of the other.
Our group has chosen to present a case of Erratic Parasitism because we
want to broaden our knowledge in this kind of disease and on how to prevent
this condition

As a student nurse this study will enable the students to understand better
about Erratic Parasitism and will explain the different risk factors for
developing the disease, including consumption of improperly prepared foods
or contaminated water and travel or residence in areas of poor sanitation
Since we are client-centered, we really should consider our patients comfort
and this study will give the students sufficient knowledge that will help us
to plan and implement nursing care plans that will provide patients needs.

Nursing h??

Demographic Profile
Patients name: MLM
Gender: Male
Birthday: March 17, 2012
Age: 2 years-old
Hospital #: 723910
Religion: Catholic
Citizenship: Filipino
Place of Birth: Malabon City
Height: 89cm
Weight: 19kg
Date of Admission: January 20, 2015
Time of Admission: 12:20PM

Chief Complaint:
Vomiting
Admitting Diagnosis:
Eratic parasitism with moderate signs of dehydration

History of Present Illness

6 hours PTA patient vomited approximately 1 cup, watery in consistency,

with two intestinal parasite described as thin, whitish color. Subsequent
vomiting revealed no intestinal parasites, vomitus described as watery,
amounting to half cup per episode. Persistence of symptoms prompted
consult.
Past Medical History
+) Pneumonia 2012
+) Vomitted 4 intestinal parasite 2013 1 week hospitalize
+) Completely Immunized

PE:

Temp: 36.9C
CR: 145
RR: 30
O2 Sat: 96%
>anicteric sclerae, Pink palpebral conjunctivae
>Skin Pinch <2 secs
>w/ good skin turgur
moist lips
>not difficult to feed
>alert, awake
Eager to drink, Thirsty

Anatomy and Physiology:

Digestive system:

The human digestive system is a complex series of organs and glands that
processes food. In order to use the food we eat, our body has to break the
food down into smaller molecules that it can process; it also has to excrete
waste. Most of the digestive organs (like the stomach and intestines) are
tube-like and contain the food as it makes its way through the body. The
digestive system is essentially a long, twisting tube that runs from the mouth
to the anus, plus a few other organs (like the liver and pancreas) that
produce or store digestive chemicals.

The Digestive Process

Mouth:
The digestive process begins in the mouth. Food is partly broken down
by the process of chewing and by the chemical action of salivary enzymes
(these enzymes are produced by the salivary glands and breakdown starches
into smaller molecules).
Esophagus
After being chewed and swallowed, the food enters the esophagus. The
esophagus is a long tube that runs from the mouth to the stomach. It uses
rhythmic, wave-like muscle movements (peristalsis) to keep the food moving
along the digestive tract.
Stomach
The stomach is a large, sack-like organ that churns the food and bathes
it in a strong acid (gastric acid). Food in the stomach that is partly digested
and mixed with stomach acids is called chyme.
Small Intestines
After being in the stomach, food enters the duodenum, the first part of
the small intestine then it enters jejunum and then the ileum (terminal part
of small intestine). In the small intestine, bile (produced in the liver and
stored in the gall bladder), pancreatic enzymes, and other digestive enzymes
produced by the inner wall of the small intestine help in the breakdown of
food.
Large Intestines
After passing through the small intestine, food passes into the large
intestine. In the large intestine, some of the water and electrolyte are
removed from the food. Many microbes in the large intestine help in the
digestion process. Food then travels upward in the ascending colon then
across the transverse colon, goes down to the descending colon, and then
through the sigmoid colon.
Rectum and Anus
End of the digestion process solid waste is then stored in the rectum
until it is excreted via anus.

Pathophysiology

LAB:
CBC
o
o
o
o
o
o
o
o
o

Results
WBC
22.23 H
RBC
5.24 H
Hgb
129 L
Hct
0.380
MCV
74.8 L
MCH
24.6 L
MCHC
32.8 L
Platelet count
550 H
RWD
15.8 H
Neutrophils 73.50 H
o Lymphocyte
19.50
o Eosinophils 2.90
o Monocytes 3.60
o Basophils 0.40

Ref. value
4.8- 10.8
4.1-5.1
140 - 175
0.359-0.445
82-98
29-33
33-36
150-400
11.4-14.0
40-70
19-48
2-8
0-15
0-5

Serum ELec.
o Na
o K

139.10
4.74

139-149
3.5-5.5