Small Bowel Obstruction Case Study Essay

Medication: Different types of medications are effective treatments for IBS. Taking antidepressants can help treat depression but can also treat abdominal pain. Antispasmodic medicines can be used to reduce abdominal pain. Laxatives are helpful treatments for constipation.

The patient’s vital signs have stabilized, with HR in the 70s, BP is in the 120s/60s, regular RR and 37.6o Celsius temperature. Graft site wound bed is pink with tissue granulation noted. The learner is expected to prepare the patient for discharge. This SCE prepares the learner for the following items of the NCLEX-RN test format:

State in your own words what you would say to this patient to explain why she is unable to eat or drink (relate to diagnosis).

In this paper I will be discussing preoperative fasting time for patients undergoing elective surgery with general anaesthesia. In clinical setting, nothing by mouth (NPO) after midnight is required on the day before scheduled surgery to prevent vomiting and aspiration of gastric content into the lungs. There are different preoperative fasting guidelines established by anaesthesiologist associations, for example the Canadian Anaesthesiologist’s Society (CAS) and American Society of Anaesthesiologists (ASA) (Tosun, B., Yava, A., & Açıkel, C. 2015). With these guidelines, fasting intervention is not just as simple as NPO after midnight. There was no evidence that showed shortened fast period increased patient’s risk for aspiration or

17. The patient has osteosarcoma of the right leg. The unlicensed assistive personnel (UAP) reports that the patient's vital signs are normal, but the patient says he still has pain in his leg and it is getting worse. What assessment question should the nurse ask the patient to determine treatment measures for this patient's pain?

Do not eat or drink anything for at least 8 hours before the surgery. Ask your health care provider if it is okay to take any needed medicines with a sip of water.

Action: Ambulated her to chair, assisted with bath and oral care, d/c Foley, encourage fluids, educated on fall prevention and incentive spirometry, applied SCDs and gave enoxaparin to prevent DVTs, gave acetaminophen/ hydrocodone (scheduled) as well as HYDROmorphone (for breakthrough) to control her pain. Performed EKG per order because potassium was 5.2… decreased O2 to 1 LPM then d/c.

Intestinal pseudo obstruction is a rare and incurable disease that is a blockage or obstruction of the intestines. There are two forms of intestinal pseudo obstruction, acute intestinal pseudo obstruction and chronic intestinal pseudo obstruction. Acute intestinal pseudo obstruction is a less aggressive degree of intestinal pseudo obstruction with milder symptoms that come and go. Acute intestinal pseudo obstruction is also easier to manage with treatment. Chronic intestinal pseudo obstruction is a very aggressive form of intestinal pseudo obstruction. Chronic intestinal pseudo obstruction is more difficult to manage even while undergoing treatment(s) and surgery(s). As a result, intestinal pseudo obstruction is a highly complicated disease

Reporter stated the following: The staff noticed that she has bowel movements on herself. I was told the information on yesterday. These behaviors were noted in October 2015. In the classroom when the teacher was going to take her blanket she started crying.

In addition, Reginald is more at risk becoming dehydrated as it is common among the elderly, this is because osmoreceptor sensitivity declines with age (Martini, Nath & Bartholomew 2015, p.928). Due to this risk the nurse caring for Reginald should encourage him to increase his intake of fluid by oral rehydration (Gastroenteritis 2015). If Reginald becomes severely dehydrated this can be managed through intravenous fluids of 0.9% sodium chloride (Metheny 2011, p.345). In addition, the nurse should be recording the input and output of Reginald’s fluid through a fluid balance chart as this will indicate if there are any complications (Long & Scott 2015, p.226). This is because dehydration can lead to severe health problems as water comprises approximately 55% in elderly and is essential for cellular homeostasis and life (Popkin, D’Anci & Rosenberg 2011). Furthermore, “dehydration of just 2% loss of body weight can result in significantly impaired physiological responses and performance” (Water 2014). Dehydration has severe effects which can increase the likelihood of Reginald having further health problems, including “thromboembolic complications, urinary tract infections, pulmonary infections, kidney stones, hyperthermia, constipation and orthostatic

Short bowel syndrome (SBS) is a heterogeneous, malabsorptive disorder that occurs after an extensive small bowel resection surgery (2). Conditions of the small bowel which may warrant this type of surgery include Crohn’s disease, post-radiation enteritis, ischemia/other vascular issues of the bowel, malignancy, trauma, tumors, and complications from previous abdominal or gastric bypass surgery (1, 2). Once the bowel has been resected, the normal processes involved in absorption of nutrients, electrolytes, and fluids are altered (1). A variety of long-term complications related to SBS exists and is dependent upon which sections of the bowel remain, the amount of remaining bowel, and the functional and structural adaptations that occur post-surgery

As an advanced practice nurse (APN), it is common to see people with gastrointestinal (GI) disorders. For the purpose of this discussion, I will evaluate the case study #2 and give a differential diagnosis with an explanation. I will discuss how the physical examination and patient history plays a role in the diagnosis and provide examples of treatments based on the diagnosis.

At today, visit she is accompanied by her husband and caregiver. She is awake, alert and oriented. She reports increased dysphagia and increased muscle weakness. The caregiver reports that the patient now is unable to tolerate eating a full meal due to getting tired easily with chewing her food. The caregiver reports that yesterday the patient wants chicken nuggets and was only able to eat ½ a nugget because of difficult chewing and increased weakness in chewing. She reports that the patient is now consuming less than 700 calories a day. The family has discussed PEG tube placement, which was recommended by speech therapy, due to patient poor oral nutrition intake and dysphagia ( increased risk for aspiration pneumonia)The patient reports chronic,

For safety’s sake, patients are required to fast prior to their surgery; consequently, the night before their surgery, patients must begin fasting at

While I was feeding my patient, I noticed that he had swallowing problem, and I let the nurse knew about it. Also, when the speech therapist came in to evaluate the patient’s swallowing status, I told her that patient had difficulty of swallowing. And she did her assessment and changed patient regular diet to pour diet.