Answer Happy

Subjective Data
Objective Data
Nursing Diagnosis
Short Term Goals
Nursing Interventions
Evaluation
CASE STUDY GASTROINTESTINAL SYSTEM 1. PATIENT PROFILE Mrs. D is a 46-year-old female whoresented with complains of episodio abdominal pain, a low-grade fever, and diarrhea for almost two weeks. Mrs. D was on vacation in another country when she developed pain in the left lower quadrant of her abdomen. The patient delayed seeking health care because of fear of the country's unfamiliar medical system and the assumption that bad water or food she had while on vacation must have given her a stomach "bug". Mrs. D also reports a recent onset of painful urination. (Female patient; age - 46 setting - hospital; Ethnicity - African American Socioeconomic - married, no children. Religion - Catholic: Legal - Advance Directive: Prioritization - Emotional support, patient education, Community resources), Upon examination, Mrs. D is found to be dehydrated with a fever. Vital signs - T- max 39.2 degrees C (102.5 F); blood pressure 106/58 on left upper arm heart rate - 88/minute palpable, respiratory rate 22/minute, Oxygen saturation 98% on room air. Height weight - 170 lbs. Labs were drawn, results 4potassium 2.8 mEq/1: Erythrocyte Sedimentati Rate (ESR) 371 mm/hr: WBC 16,000. Urinalysis showed a positive urinary tract infection (UT), and abdominal/pelvic CT scan revealed diverticulitis with possible ileus. Mrs. Dis started on IV fluid of D5 % NS with 20 mEq of K+ at a rate of 50 ml/hr. Two IV antibioties - Cefoxitin Sodium and Metronidazole are initiated. Diet NPO, bed rest, IV Morphine Sulfatd0.5 mg Q4 hours PRN for pain management. Diphenoxylate hydrochloride with atropine sulfate 5mg/0.05 mg orally every 6 hours (not to exceed 4 doses in 24 hours) Propantheline Bromide 15 mg three times during the day and 30 mg at bedtime: Acetaminophen 650 mg Q 8 hours prn for pain. Labs ordered for the next morning. QUESTIONS 1. How does diverticulitis differ from diverticulosis? levelop 2. What risk factors for diverticulitis contributed to Mrs Dormere attese case? beignt. 'NS, DS become Lithin 3. Which diagnostic test continted Mrs. D's diagnosis or acute diverticulitis inflame Abdominal pe ICCT scan he over infected 4. What is an ileus? weight Pawel Dbstruction. its call 5. What should you as the nurse question in regard to this patient's Morphine dosel avvertid Hegony. be prenesen regarding this medication? Usually taken 4 times acay, D mins Defore meals@bechine Doctore a doce onetime 7. What labs are normal and abnormal? As the nurse what would you do about them? 8. The patient has one PIV (peripheral IV), as the nurse what steps should be taken prior to initiating the IV medications? Diverticulosis occurs when small bulging pouches so selegrt pouches MIZE 6. the , what is priority 7. normal. O2, HR, Abdonmal: RR, A Temp, ESR, WBC, Potassium Comeback to take the vitals when she's more relaxed. start the Antibiohes ASAP PROFANC