Ms. S is a 64 year-old retiree who was admitted to the hospital for an emergency splenectomy following a fall. Her medical history includes: Type II diabetes for the past 10 years, hypothyroidism, atrial fibrillation, and obesity. Until her fall, she had not had any problems related to her spleen. Her mother was also a diabetic and all of her siblings have atrial fibrillation. Medications: Synthroid, Metformin, atenolol, and a baby aspirin a day. It is now three days post op and the large abdominal wound from her surgery is red and draining yellow drainage. Her vital signs are 145/80; HR-90, R-20, T-100.8 F.
DRAW concept/patho map and include ALL the steps from the risk factors to the development of the diseases or problems following her splenectomy. The more details you can provide the better.
INCLUDE the following in your concept map:
> Splenectomy: relationship among splenectomy and infectious processes; impact on red blood cells and oxygenation; stress related to surgery; impact on blood glucose.
> Hypothyroidism: impact on cardiac system; blood glucose, skin, immunity, tissue perfusion
> Diabetes: relationship among obesity, insulin resistance, changes in vessels, circulation, WBCs, relationship between blood glucose and pathogens
> Atrial fibrillation: what happens to cardiac output, WBCs, oxygenation of tissues, impact on infection
> Systems connectivity: indicate all relationships between and among the various systems
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