Cancer #1 Essay

842 Words Dec 10th, 2012 4 Pages
Case Study 92

Scenario
R.T. is a 64-year-old man who comes to his primary care provider’s (PCP’s) office for a yearly examination. He initially reports having no new health problems; however, on further questioning, he admits to having developed some fatigue, abdominal bloating, and intermittent constipation. His nurse practitioner completes the examination, which includes a normal rectal exam with a stool positive for guaiac. Diagnostic studies include a CBC with differential, chem 14, and carcinoembryonic antigen (CEA). R.T. has not had a recent colonoscopy and is referred to a gastroenterologist for this procedure. A 5-cm mass found in the sigmoid colon confirms a diagnosis of adenocarcinoma of the colon. A referral is made for
…show more content…
Advanced disease Sx: pain, anorexia, weight loss, palpable abdominal / rectal mass, anemia.

6. What is a CEA? How does it relate to the diagnosis of colon cancer?
Carcinoembryonic antigen (CEA) is a tumor marker that can be detected in the blood of clients with colorectal cancer. CEA level is used to estimate prognosis, monitor treatment, and detect cancer recurrence.

7. After bowel prep, R.T. is admitted to the hospital for an exploratory laparotomy, small
bowel resection, and sigmoid colectomy. List at least five major potential complications for
Infection (Leakage from Colon) Bleeding Blood Clots
Damage to Internal Organs bulging of tissue through surgical incision
colon blockage due to the formation of scar tissue
incomplete joining of the reattached sections of your colon and rectum

8. After surgery, R.T. is admitted to the surgical intensive care unit (SICU) with a large
abdominal dressing. The nurse rolls R.T. side to side to remove the soiled surgical linen,
and the dressing becomes saturated with a large amount of serosanguineous drainage.
Would the drainage be expected after abdominal surgery? Explain.
Serosanguineous drainage is expected after abdominal surgery because of incision and time needed for clotting process. It is not normal if the bandage is soaked with blood, if green or yellow drainage is coming from it, or patient have black or tarry stools, or there is blood in his stool.

9. Four weeks after surgery, R.T. is…

More about Cancer #1 Essay