Gradually increasing abdominal pain

Assignment Help Science

Reference no: EM133851998

Question

Patient Elvis, 50y/o gardener, was admitted to the Medical Ward due to gradually increasing abdominal pain, fever, nausea and vomiting. Past medical history was ESRD (March2021) secondary to chronic glomerulonephritis and hyperlipidemia since 2019. The patient has been on nightly peritoneal dialysis since then. Five days prior to admission (PTA), the patient complained of constipation but sought no consult. Two days PTA, the patient went home from work due weakness, nausea and beginning abdominal pain. Admitting diagnosis is Peritoneal Dialysis-Related Peritonitis.Pertinent physical findings are T-38.3, PR-94, RR-13, BP-140/80, rigid non-distended abdomen, report of tenderness with guarding during palpation. PD catheter site has subtle distinct smell.Laboratory and diagnostic exams were ordered to the patient with pertinent findings: WBC-18,000, BUN-34, Crea-13.6, Na-132, K-4.3. Peritoneal effluent culture analysis revealed Staphylococcus Epidermidis. Plain Abdominal CT scan was ordered. The patient was started on with Cefepime and Vancomycin every 12 hrs given intraperitonealto hasten absorption. Laxative30cc P.O.hs was also ordered. Heparin 0.75ml/1000 units/ml was ordered to be given intraperitoneal. Temporary shift to hemodialysis is being considered while monitoring of progression of peritonitis.

Reference no: EM133851998

Questions Cloud

Complaints of fever-malaise and increased cough : A 5-year-old girl comes to your clinic for the first time with complaints of fever, malaise, and increased cough for 2 days.

What are the objectives of educating staff nurse : What are the objectives of educating staff nurse and participants in a DNP project focused on hypertension management through the implementation of the AHA?

Discuss why adopting a security framework : Discuss why adopting a security framework, such as the NIST Cybersecurity Framework or the ISO/IEC 27000-series, would benefit the organization.

Who are members of special populations : As a professional Registered Nurse, you will be tasked to care for individuals who are members of special populations.

Gradually increasing abdominal pain : Patient Elvis, 50y/o gardener, was admitted to the Medical Ward due to gradually increasing abdominal pain, fever, nausea and vomiting.

What would you like to learn more about the topic : What would you like to learn more about this topic? How might/can a future services graduate interact and/or assist with people with this type of disability?

Compassionate care for such patients : Do I think my feelings could create a barrier to compassionate care for such patients?

Identify nine key benchmarks for hospitals within the us : Identify nine key benchmarks for hospitals within the U.S. healthcare system. Categorize the benchmarks into one of the three broad categories - quality.

Complaints of nausea-vomiting and lethargy : L.L., a 58-year-old Caucasian male patient on the medical-surgical floor, has complaints of nausea, vomiting, and lethargy.

User Account

All Pages