Scribd Logo
Upload

Welcome to Scribd!

  • 101 views

    NUR 200 Week 8 Practice Case Study

    Uploaded by

    Hannah Marie
    C.N., a 56-year-old alcoholic businessman, was brought to the emergency department by a friend experiencing severe abdominal pain and vomiting. He has a history of chronic pancreatitis and this is his fourth admission for an acute exacerbation. Upon assessment, he has a fever, rapid heart rate, guarding and severe pain on palpation of his distended abdomen. He is oriented but restless with hand tremors. The HCP orders his admission, NG tube, IV fluids, pain medications and monitoring.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    NUR 200 Week 8 Practice Case Study

    Uploaded by

    Hannah Marie
    101 views2 pages
    C.N., a 56-year-old alcoholic businessman, was brought to the emergency department by a friend experiencing severe abdominal pain and vomiting. He has a history of chronic pancreatitis and this is his fourth admission for an acute exacerbation. Upon assessment, he has a fever, rapid heart rate, guarding and severe pain on palpation of his distended abdomen. He is oriented but restless with hand tremors. The HCP orders his admission, NG tube, IV fluids, pain medications and monitoring.

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    C.N., a 56-year-old alcoholic businessman, was brought to the emergency department by a friend experiencing severe abdominal pain and vomiting. He has a history of chronic pancreatitis and this is his fourth admission for an acute exacerbation. Upon assessment, he has a fever, rapid heart rate, guarding and severe pain on palpation of his distended abdomen. He is oriented but restless with hand tremors. The HCP orders his admission, NG tube, IV fluids, pain medications and monitoring.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    101 views2 pages

    NUR 200 Week 8 Practice Case Study

    Uploaded by

    Hannah Marie
    C.N., a 56-year-old alcoholic businessman, was brought to the emergency department by a friend experiencing severe abdominal pain and vomiting. He has a history of chronic pancreatitis and this is his fourth admission for an acute exacerbation. Upon assessment, he has a fever, rapid heart rate, guarding and severe pain on palpation of his distended abdomen. He is oriented but restless with hand tremors. The HCP orders his admission, NG tube, IV fluids, pain medications and monitoring.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    NUR 200 Week 8 Practice Case Study

    C.N. is a 56-year-old businessman who is brought to the emergency department by a friend whom he
    met at Alcoholics Anonymous (AA). C.N. had called his friend because he was in such pain that he could
    not drive himself. He has been drinking heavily during the past 3 days and started vomiting yesterday. In
    addition to the continued vomiting, this morning he developed severe mid-epigastric pain radiating to
    his back that motivated him to call his friend. C.N. has a long history of alcoholism with many periods of
    abstinence and relapse. C.N. is divorced, lives alone, and rarely sees his two children, who are in college
    in another state. He was diagnosed with chronic pancreatitis two years ago and this is his forth
    admission for acute exacerbation of pancreatitis.

    Assessment:
    • Vital Signs: 100.2° F (37.9° C), 116, 32, 106/70
    He has a distended abdomen with guarding, severe pain on gentle palpation, and hypoactive bowel
    sounds. He is awake, alert, and oriented ×3, restless, and has a fine tremor of his hands. He grades his
    pain as “9” on a scale of 0 to 10, says that he cannot lie flat, and assumes a sitting position with his back
    and hips flexed. He vomits a small amount during the physical assessment, and the hemoccult testing
    of the vomitus is negative.

    HCP Orders:
     Admit to medical-surgical unit
     Insert NG tube and place to LIWS
     Strict NPO
     Blood glucose daily x 3
     Hydromorphone (Dilaudid) 1-2 mg Q2H IVP
     Pantoprazole (Protonix) 40mg IV daily
     Ondansetron (Zofran) 4 mg Q4H PRN nausea vomiting
     IVF to run at 150 mL/hr

    Tanner’s Clinical Judgment Step Definition of thinking Skill Application of thinking Skill to
    Case Study
    Identifying Signs and Symptoms

    Gathering Complete and Accurate


    Data

    Assessing Systematically and


    Comprehensively

    Predicting (and Managing)


    Potential Complications
    NUR 200 Week 8 Practice Case Study
    Identifying Assumptions

    Clustering Related Information

    Recognizing Inconsistencies

    Checking Accuracy and Reliability

    Distinguishing Relevant from


    Irrelevant

    Determining the Importance of


    Information

    Comparing and Contrasting Data

    (Predicting and) Managing


    Potential Complications

    Judging How Much Ambiguity is


    Acceptable

    Using Legal, Ethical, Professional


    Guidelines

    You might also like