V Sim Concept Map - Stan chekets PDF

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vSim Concept Map Student: Vsim Patient: Stan Chekkets

DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) BOWEL OBSTRUCTION Intestinal contents, fluid, and gas accumulate proximal to the intestinal obstruction. The abdominal distention and retention of fluid reduce the absorption of fluids and stimulate more gastric secretion. With increasing distention, pressure within the intestinal lumen increases, causing a decrease in venous and arteriolar capillary pressure. This causes edema, congestion, necrosis, and eventual rupture or perforation of the intestinal wall, with resultant peritonitis.

DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS) . Abdominal x-ray and CT scan findings include abnormal quantities of gas, fluid, or both in the intestines and sometimes collapsed distal bowel. Laboratory studies (i.e., electrolyte studies and a CBC) reveal a picture of dehydration, loss of plasma volume, and possible infection. The approach to small bowel obstruction focuses on (1) confirming the diagnosis, (2) identifying the etiology (3) determining the likelihood of strangulation

Patient Information

Stan Checketts 52 year old

ANTICIPATED PHYSICAL FINDINGS  

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crampy pain that is wavelike and colicky The patient may pass blood and mucus but no fecal matter and no flatus signs of dehydration become evident: intense thirst drowsiness generalized malaise aching parched tongue mucous membranes.

vSim Concept Map Student: Vsim Patient: Stan Chekkets

ANTICIPATED NURSING INTERVENTIONS 

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Nursing management of the patient with a small bowel obstruction who does not require surgery includes maintaining the function of the NG tube assessing and measuring the NG output, assessing for fluid and electrolyte imbalance, monitoring nutritional status assessing for manifestations consistent with resolution (e.g., return of normal bowel sounds decreased abdominal distention, subjective improvement in abdominal pain and tenderness, passage of flatus or stool)....