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Anna Garcia's Birth
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Period: to
Anna Garcia's Timeline
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Taken to Hospital @ 14mo
Symptoms: fever, lethargic, breathing problems, appearing to be in a lot of pain.
Diagnosis: Sickle Cell Anemia and splenic sequestration
Treatment: Pain medication and antibiotics -
Taken to Hospital @ 10yrs
Symptoms: deep chest pain, leg pain, difficult to breathe, fever -
Taken to Hospital @ 14yrs
Symptoms: fatique, excessive thirst, excessive urination, weight loss of 10 lbs.
Mother reports a family history of high cholesterol and heart disease.
Diagnosis: Type 1 diabetes
Treatment: Insulin shots, monitoring blood sugar -
Cardiac Work-Up
Symptoms: chest pain, high blood pressure (190/110), premature ventricular contractions.
Findings: Tachycardia, high blood pressure, a slight heart murmur, a blockage in her left anterior descending coronary artery, a slightly enlarged left ventricle and slight mitral valve regurgitation.
Diagnosis: Metabolic Syndrome
Treatment: Pacemaker and angioplasty. -
Taken to Hospital @ 38yrs
Symptoms: extreme pain associated with sickle cell crisis.
Treatment: Confined to bed and given a catheter. Also pain medication.
(Catheter gives Anna a UTI)
UTI treatment: antibiotics -
Anna Garcia's Death
Neighbor called police--police came to investigate.
Findings: Anna Garcia face down in the entry hallway; dead.
How Anna Died: Kedoacidosis induced brain swelling. -
Factors Leading to Death
- Not following her diet- eating poorly
- Not complying with insulin shots- high blood sugar levels
- Busy lifestyle- forgetting to manage blood sugar/pressure levels
- Owning a bakery- eating poorly
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How Her Diseases Factor into Death
Heart Disease- High cholesterol and hypertension causes a heart attack
UTI- high ketones in urnine could cause kidney failure
Sickle Cell Anemia- Blood clot in body which causes very high blood pressure, blood clot in brain which causes a stroke and death, or lack of oxygen getting to the body which builds up overtime in the internal organs resulting in organ failure and death
Diabetes- The infections due to the delayed reaction time to fight the infection -
DKA Prevention (short term & long term)
- Healthy diet & physical activity for sickle cell anemia, heart disease, and diabetes
- Insulin shots (& monitoring blood sugar level) for her diabetes so her body can still consume/create energy from the glucose
- Antibiotics were prescribed when needed to help boost the immune system in times of sickle cell crisis
- Pain medication and blood thinners were prescribed to help with the heart disease and sickle cell anemia