A 52 year old male patient presents to the Emergency Department with signs of dehydration. The symptoms are related to poor intake of fluids by mouth and vomiting. His abdomen is distended. He has poor skin turgor and dry mucous membranes. He has not urinated since yesterday. Past medical history: notable for a cholecystectomy, appendectomy, inguinal hernia repair all over 5 years ago Recent medical history: Complaining of abdominal pain and vomiting which began 1-2 days ago. He has also noted some "swelling" in his abdomen and he feels bloated. He has had a poor appetite, admits to not eating or drinking much for the past few days because of an "upset stomach". He had a bowel movement about 3 days ago which contained some mucous and blood. The AXR reveals that Mr. F has a SBO and he will be having exploratory surgery in the am.

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Contexto1212go Contexto1212go · Answer 1

Nursing assessment: Risk of fluid volume deficit: due to not drinking anything and dehydration symptoms.

Maintaining an appropriate fluid volume is the goal. Nutritional imbalance: as a result of vomiting and weak appetite.

maintain enough nutrion status Acute discomfort is caused by abdominal distension and bloating. Pain alleviation is the goal.

Nursing assistance: - Assess the patient's degree of discomfort and put the patient in a comfortable posture and repetition to lessen pain.

-Monitor strict intake and output as well as patient vital signs on a frequent basis to detect any hypotension symptoms caused by fluid loss.

- Check the patient's weight on a daily basis to ensure that nutritional demands are met and that adequate weight is maintained.

- If appropriate, keep the patient NPO to reduce peristasis movement and diarrhea.

-Inspect patint serum electrolytes for elctolyte loss, which causes cardiac and skeletal muscle dysfunction.

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