diverticulitis Concept Map PDF

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Summary

concept map on diverticulitis...

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Melissa RoebuckRasmussen Concept Plan Medications – List medications applicable to Medical Diagnosis. Attach Medication Record

Date 08/19/2020

Clinical Manifestations Subjective: Severe abdominal pain / cramping in LLQ,

antibiotics are ciprofloxacin, cephalexin, metronidazole and doxycycline.anti-spasmodic drugs like dicyclomine, chlordiazepoxide, hyoscyamine, scopolamine, atropine and Phenobarbital. Over-the-counter (OTC) painkiller like paracetamol can be taken to reduce the symptoms. NSAIDs not recommended

Pathophysiology : involves small abscesses or infection in one or more of the diverticula, or perforation of the bowel.

Abdominal bloating, Nausea / vomiting, Constipation Abdominal tenderness Objective: Fever / chills, Vomiting, Leukocytosis, Guarding of abdomen, Evidence of diverticula on colonoscopy, Possible bloody stools

Nursing Diagnosis Risk for infection Goal: Patient will be free from infection and will be compliant with appropriate diet and medication regimen

Pain Goal: Patient will be free from pain and will be compliant with appropriate diet and medication regimen

Medical Diagnosis acute diverticulitis Patient Data Male, 82 yo, Muslim, severe abdominal pain with right sided tenderness for six hours. He’s apprehensive about surgery

Nursing Interventions Monitor vital signs, Provide Bowel Rest: Maintain NPO status during initial phase of antibiotic treatment to kill infection and help bowel rest. Assess abdominal pain Administer medications Provide nutrition education

Medical Interventions Diagnostic Data CT:acute diverticulitis intraperitoneal free air WBC 19.8 Neutrophils 95% Temp 101.2 oral

diet modifications, antibiotics, and possibly surgery. Mild diverticulitis infection may be treated with bed rest, stool softeners, a liquid diet, antibiotics to fight the infection, and possibly antispasmodic drugs.

Patient Education Provide nutrition education: Hydrate (2-3 L fluids daily, unless contraindicated for renal or cardiac disease) to avoid constipation. Probiotics – to help regulate the intestinal bacteria. Avoid foods that trigger flare up (lowfiber foods) Medication education...