A Case Report on Management of patient with Graves’ Disease

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Mr. Gaurav Watkar, Ms. Switi Jawade , Ashish Bhagat, Yogesh Kale

Abstract

Graves' illness (GD) may show exceptional signs. Graves' sickness is an ongoing disease that influences individuals. A fourteen day history of dyspnea, palpitations, and edema was introduced. She had a goiter, exophthalmos, and a raised jugular venous pressing factor. Pancytopenia, a higher antacid phosphatase level, hyperbilirubinemia (principally direct bilirubin), and hyperthyroidism were found in research facility testing. The patient became euthyroid following three months. Her hemoglobin, basic phosphatase, and right ventricular systolic pressing factor (52.64 mmHg) all improved, as did her leukocyte and platelet tallies and bilirubin levels. This is the primary occurrence of GD with the three strange side effects of pancytopenia, cholestatic liver harm, and PH with right-sided cardiovascular breakdown that has been recorded. Pancytopenia should resolve with euthyroidism with antithyroid medicine treatment, anyway PH and liver harm may require numerous months to determine. Clinical findings: physical examination and systemic examination done all investigation done to diagnosed a case of Graves disease diagnosis assessment: Blood Investigation: WBC:-<5000 cells/mm3. RBC :- 20,000-40,000 (cells/mcL),IgM and IgG test :- Positive, Platelet count:- 12,000 cells/mm3 Therapeutic intervention:- Patient was treated analgesics drug to reduce pain, analgesic, antipyretic drugs gives to reduce complications. Outcome:- Patient was taken medications as per doctor order such as paracetamol to reduce their pain And also patient condition was good with the medical treatment. Nursing perspectives:- Administered fluid replacement ie. DNS and RL. Monitor vital signs and Check BP per hourly. Maintained intake and output chart and provided adequate rest and sleep to the patient. Administered  medications according to doctor’s order. Hydrotherapy given because patient had fever. Conclusion:- This case of Crohns disease the patient taken all treatment with proper medication . The patient’s  condition was improved .

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