Please help write the cases of patients ��nursing diagnosis, nursing interventions, objectives, evaluation�� extremely grateful, urgently! Written in the more detailed the better, definitely will give you additional points, thank you! Patients Guo XX, female, 68 years of age, history of hypertension, family history of coronary heart disease and diabetes. Main cause of 'lower abdominal pain one day' in the 3-19 emergency admissions, there was no obvious cause of pain under the xiphoid, the continuity, with lower back pain, with nausea, vomiting once, the stomach contents, no bowel movement, there is the exhaust, no fever chills, about 2 a child transferred to the right lower abdomen and lower in the abdomen. Physical examination abdomen flat, soft-touch, non-muscle tension, right lower quadrant abdominal tenderness and summer, suspicious rebound tenderness, abdominal percussion into a drum sound, liver percussion pain (-), shifting dullness (-), bowel sounds 5 beats / min, had not heard of aquatic gas, abdominal and pelvic ultra-B: intestinal pneumatosis in the right lower abdomen, no significant mass and liquid dark area, uterine contraction, uterine fluid, pelvic free fluid ... wait surgery. Preoperative diagnosis: acute appendicitis and methods to be operative name: laparotomy; appendectomy. To be applied anesthesia: general anesthesia (inhalation, single lumen tube) surgery after :...( break off both ends) probe shows 200ML purulent peritoneal fluid, pus moss attached to the cecum, the appendix is located to the right iliac fossa the lower left into the pelvic cavity, and after the peritoneal adhesions, congestion and edema significantly, about 12CM X 1CM, appendix, full black, perforated appendix tip, separating adhesions around the appendix, section ligation, cut off the appendix to the root of mesentery, condition is acceptable Bureau field ligation appendectomy at the root of 0.5CM, 0.2CM Department Bureau of distal ligature was cut off the right side of the other ...... appendectomy incision to prevent the drainage tube 24, a compression, .. absorbable suture peritoneal .... stable condition after surgery, without exception. Objective evaluation of nursing nursing diagnosis 1. Pain: inflammatory stimuli 1. Prescribed the use of the 2. Organization hypoperfusion: loss of fluid and blood loss surgery on 3. The risk of infection: potential complications 4. Risk of injury; 4 .
No comments:
Post a Comment