Hospital Day 1 - Ruth Morrow, 65, hasn’t been receiving routine health care. Over the...

Hospital Day 1 - Ruth Morrow, 65, hasn’t been receiving routine health care. Over the past several months, she’s noticed that although she’s lost her appetite and is eating less, her pants and skirts have gotten much tighter. Last night she began to vomit large amounts of green liquid. This morning she cane to the ED because she was dizzy, light-headed, and still vomiting. She reports crampy, abdominal pain. She was admitted to your unit with possible bowel obstruction related to intra-abdominal metastatic cancer of unknown primary origin. VS on admission are 99.1°F-96-22 106/60, pulse oximetry 98% on room air.

Her call light goes on and you enter the room to find the patient projectile vomiting fecal-smelling, brown material.

What is the first thing you will do as the primary nurse?
What medication do you plan to give?
How will you draw up this medication?
How will you administer it?
What do you think may be causing her symptoms?
What assessments will you do now?

Solutions

Expert Solution

a. As a primary nurse offer or hold a kidney tray to the patient to puke.Make the patient sit on the bed or couch nearby to maintain stability of the patient. Reassure the patient psychologically that the symptoms can be managed. Meanwhile offer water ,like warm water to gargle the mouth.

b. Administer antiemetic drug to the patient to stop vomiting .A proton pump inhibitor can be given to reduce the acid secretion and thus decreasing the vomiting episodes.

Analgesics can be administered as per order to relieve abdominal pain and improve comfort.

c. These medications are available in injection format so it can be withdrawn using a syringe

d. In case of anti emetic and analgesic drugs. If a proton pump inhibitor it has to be diluted and then administered as it is available in powdered form. Administer the drug intravenously for immediate action.

e. The assessment which has to be done are

General condition of the patient
Vital signs or vital parameters
Amy food intake
Physical examination of the abdomen by inspection, palpation, percussion, auscultation
Assess the quantity ,color of the vomitus
Assess for any other signs and symptoms

Nightingale answered 1 year ago

Next > < Previous

Related Solutions

Mr. Lee is a new Canadian immigrant. He has been receiving health care through a temporary...

Mr. Lee is a new Canadian immigrant. He has been receiving health care through a temporary health plan, waiting for the three-month waiting period to end. What three types of documentation will he need in order to be considered for coverage by the provincial health care plan? Give an example of each type of documentation.

A rural country hospital facility provides health care services to over 35,000 citizens, with a high...

A rural country hospital facility provides health care services to over 35,000 citizens, with a high percentage being older Americans who have retired to this area of the country. The hospital administrator has asked the Vice President of Risk Management to attend a meeting with the senior staff next week in the Board Room. The hospital administrator has asked Vice President of Risk Management to present areas of opportunity for increasing the hospital’s risk management strategies to ensure a litigation-free...

A rural country hospital facility provides health care services to over 35,000 citizens, with a high...

XYZ Hospital Housekeeping H/R Gen Admin ICU Care Routine Care Total Revenue - - - 5,000,000...

XYZ Hospital Housekeeping H/R Gen Admin ICU Care Routine Care Total Revenue - - - 5,000,000 7,000,000 $12,000,000 Direct Costs (1,500,000) (1,000,000) (2,000,000) (2,750,000) (4,000,000) (11,250,000) Allocated Costs Housekeeping - Human Resources - General Admin - Profit/(Loss) (1,500,000) (1,000,000) (2,000,000) 2,250,000 3,000,000 $750,000 House Keeping Labor Hours 250 500 1,000 30,000 20,000 51750 Employees 20 5 10 15 25 75 Square Feet 500 1,000 2,000 10,000 20,000 33,500 XYZ Hospital does not allocate Support Costs by Dept to Patient Service...

Managing Health Care Quality Imagine that you are a hospital administrator at the Sunlight Hospital in...

Managing Health Care Quality Imagine that you are a hospital administrator at the Sunlight Hospital in California. The main complaint among the patients is the quality of care. Your job is to understand the state of the hospital, create value, increase efficiency, and turn the facility into a local hospital of choice. Whenever you are making visits in various wards to meet the employees and the patients, you hear how the patients love the hospital, but they would like to...

A 65-year-old woman with breast cancer is receiving hospice care in her home. She is cur-...

A 65-year-old woman with breast cancer is receiving hospice care in her home. She is cur- rently receiving a long-acting opioid analgesic supplemented with a short-acting combination opioid and nonnarcotic medication for break- through pain. A. Explain the difference between the mecha- nisms and treatment of acute and chronic pain. B. Describe the action of opioid drugs in the treatment of pain. C. Define the terms tolerance and cross-tolerance as they refer to the use of opioids for treatment of...

A young adult is visiting the clinic for a routine health care visit. What data should...

A young adult is visiting the clinic for a routine health care visit. What data should be collected from the client? What education should the nurse include during the visit? 5. Discuss the immunizations an individual of this age should be prepared to receive? 6. What specific screening tests should a female receive starting at age? Name two. What about a male? Name one

Select one of the following health care setting: hospital, community care, transitional care, Home care, and...

Select one of the following health care setting: hospital, community care, transitional care, Home care, and primary care. Describe theories and principles that should be incorporated within this setting and justify those selections with specific supporting examples. Consider the health care setting characteristics that would inform your decision making.

Select one of the following a health care settings: hospital, community care, transitional care, home care,...

Select one of the following a health care settings: hospital, community care, transitional care, home care, and primary care. Describe theories and principles that should be incorporated within this setting and justify those selections with specific supporting examples. Consider the health care setting characteristics that would inform your decision making?

1. Describe how the selected legislation effects one type of health care setting (transitional care, hospital,...

1. Describe how the selected legislation effects one type of health care setting (transitional care, hospital, primary care, home care, primary care). 2.Identify changes in your selected health care setting that have occurred during this time in order to meet the requirements or needs of this legislative trend. 3.Discuss how stakeholders (patients, underserved populations, health care providers, staff, etc.) have been affected by the trending legislation.

Subjects