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Indian Journal of Public Health Research & Development
Year : 2019, Volume : 10, Issue : 2
First page : ( 181) Last page : ( 185)
Print ISSN : 0976-0245. Online ISSN : 0976-5506.
Article DOI : 10.5958/0976-5506.2019.00282.1

Management of Patient with Metabolic Encephalopathy-A Case Study

Chavan Ranjana1, Mistry Manisha Vikrant2

1Nursing Tutor Symbiosis College of Nursing, Symbiosis International Deemed University, Pune

2Asst. Professor, Symbiosis College of Nursing, Symbiosis International Deemed University, Pune

Online published on 8 March, 2019.

Abstract

The Metabolic Encephalopathy is a series of neurological disorders caused by systemic illness, such as diabetes, liver disease, renal failure and heart failure. Metabolic encephalopathy usually develops acutely or sub acutely. If left untreated, however, metabolic encephalopathy may result in secondary structural damage to the Brain. A 43 year-old patient was admitted to the ICU in a confused state with complaints of dyspnoea and weakness. On the day of admission, he complained of dry cough, fever, sore throat since 5 days accompanied by body ache, weakness and multiple episodes of vomiting since a day. On investigation, traces of ketones were detected in Urine and had increased PT-INR. Throat swab indicated Fungal stains. He had high fever and tachycardia. Tracheostomy was performed and was put on Ventilator to improve his respiratory functions. Nebulization was initiated BD. The case was reviewed for 5 days. His prognosis was very poor and deteriorating. His relatives were informed about his condition and the symptomatic treatment was continued.

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Keywords

Metabolic, encephalopathy, unconscious.

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