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10 Cards in this Set
- Front
- Back
tx for undiagnosed abd pain
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-keep npo
-obtain urine sample [ check for pregnancy] cbc [? elevated wbc's] |
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intestinal perforation
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-associated with free air "under" the diaphragm
-s/s: fever, tachycardia, abd pain, distention, diaphoresis -requires emergency surgery |
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plan of care for intestinal "perforation"
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-pt will require emergency surgery -npo
-ngt placed to decompress gi tract abx given to prevent sepsis, which can be caused by leakage from the perforation |
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the normal amylase level
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25-125u/L
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after onset of acute pancreatitis, elevation of amylase level seen __ to __ hours
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24-48 hours
amylase will be elevated 3-5 times above the norm. |
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nsg dx for pancreatitis
volume deficit or volume excess? |
volume deficit
can result in hypovol. shock pt is vomiting, if bleeding that can result in hemor. pancreatitis & plasma leakage into the peritoneal cav. pt is npo [pancreas is resting] |
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which type of shock decreases co and causes ineffective tissue perfusion
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hypovolemic shock
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peritoneal lavage
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-used in detecting abd injuries especially in "comatosed" pts. -they cant tell you where the pain is.
- involves the instillation & withdrawl of fluid from the abd cav. |
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what is a contraindication for peritoneal lavage
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do not perform if the bladder is distended
-a foley should be inserted before the procedure |
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what organ is most often injured in blunt abd injury?
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the spleen
highly vascular the spleen is compressed against the vertebral col during trauma. |