1. Based on the nurse’s report, what signs of bowel obstruction does A.G. manifest? a. Intermittent abdominal pain; nausea; vomiting; abdominal distention/swelling. 2.
Amylase breaks down amylase and amylopectin (which are starches found commonly in foods such as pasta) and converts some of the starch maltose (a disaccharide.) It’s good to chew food so that the saliva can mix with the food and begin the digestive process. Amylase continues to break down starches until the food reaches the stomach where stomach acid neutralizes amylase. After food passes through the stomach and entering the small intestine, the pancreas is signaled to make pancreatic amylase. This amylase converts the remaining starch into maltose.
If this fails, a pancrelipase and sodium bicarbonate solution may be instilled in order to "digest" the clog. Metabolic complications: Metabolic complications of enteral nutrition are similar to those that occur during PN, although the incidence and severity may be less. Careful monitoring can minimize or prevent metabolic complications. Refeeding syndrome: Refeeding of severely malnourished patients may result in "refeeding syndrome" in which there are acute decreases in circulating levels of potassium, magnesium, and phosphate. The sequel of refeeding syndrome adversely affect nearly every organ system and include cardiac dysrhythmias, heart failure, acute respiratory failure, coma, paralysis, nephropathy, and liver dysfunction.
She has presented to the ward with the following symptoms, which are an indication of a UTI; she is feeling very unwell, with a high temperature, frequency of urination and burning when urinating. She appears slightly confused and she also complains of back pain. Chapter 45 of Lewis’s medical-surgical nursing states, that the symptoms of a UTI, include the following; Dysuria (pain on urination), frequent in urination (every 2 hours or less) urgency, visible blood or sediment in urine (cloudy appearance), Flank pain (one sided pain between abdomen and back) and fever. Older adults also may experience non-localised abdominal pain, confusion, general clinical deterioration. Patients over the age of 80 may also experience a slight decline in body temperature.
Ultrasound (of the abdomen) or a Diagnostic paracentesis: ultrasound to see what is causing the distention of the abdomen, Paracentesis: fluid removal, the wave test was positive Additional blood work- Liver function tests, coagulation tests, CBC w/diff.. 4. Identify 7 treatment options and or medications that should be considered with rationale. Each treatment option with rationale is worth 2 points. Paracentesis- drain fluid Intubation- ICP related complications may require mechanical ventilation and it may be necessary to initiate hyperventilation therapy. ICP catheter- to decrease ICP Vitamin therapy/ Nutritional referral- because of her BMI and nutritional status r/t her pathologies.
Living with a Medical Regimen for Celiac Disease Lisa Wallace Samuel Merritt University Case Management Theory N620 April 12, 2013 Living with a Medical Regimen for Celiac Disease Celiac Disease (CD) is a chronic condition caused by sensitivity to gluten proteins, whereby when gluten is ingested, the gluten proteins can’t be fully digested by gastric, pancreatic, or intestinal enzymes and thus an inflammatory response is provoked within the small intestine (Jacobsson, Hallert, Milberg, & Friedrichsen, 2012; Ryan & Grossman, 2011). Gluten consumption causes atrophy of the villous of the small intestine and can lead to malabsorption of nutrients and can lead to a variety of gastrointestinal problems such as abdominal pain and distention, chronic diarrhea, dyspepsia, flatulence, iron deficiency anemia, folate deficiency, and weight loss. Other extraintestinal symptoms may also occur, such as dermatitis herpetiformis, peripheral neuropathy, ataxia, epilepsy, arthralgia, or infertility, (Jacobsson et al., 2012; Ukkola et al., 2012). If this disease remains untreated, very serious complications such as lymphoma may develop (Gainer, 2011). Description of Medical Regimen Because the consumption of gluten is the major instigator of symptoms, the main treatment for CD is adherence to a gluten free diet.
Which statement by Jonathan indicates an understanding of autonomic dysreflexia? A) "If I start feeling lightheaded when I get up, I should raise my head more slowly." B) "I should empty my bladder at least every two to three hours." C) "It is a complication that occurs if my extremities aren't moved every two hours." D) "It's an automatic response that occurs whenever I have a bowel movement."
headache, fever, malaise, hoarseness, dyspnea and chest pain *Assessment incl. normal breath sounds, rhonchi crackles or wheezes upon exertion *Tx incl. cough suppressants, bronchodilator inhalers and high dose inhaled corticosteroids -Pertussis: (Bordetella pertussis or whooping cough) *Highly contagious infection caused by gram neg. bacillus *Symptoms incl. uncontrollable, violent coughing which may last 6-10 wks *Clinical Manifestations: -1st Stage: mild URI, no-low grade fever, runny nose, water eyes and mild productive cough -2nd Stage: Cough changes, inspiration after each cough produces the typical whooping sound as pt tries to breath against an obstructed glottis.
* Normal dosage: 2-25mcg/kg/minute continuous IV infusion. * Common side effects: hypotension if hypovolemia present, tachycardia at high doses, arrhythmias, hypertension, cutaneous vasodilation, increased myocardial oxygen consumption, high risk of tissue ischemia with IV infiltration. * Drug interactions: unknown compatibility with lipids, incompatible with acyclovir, alteplase, aminophylline, cefepime, bumatanide, diazepam, digoxin, furosemide, ibuprofen lysine, indomethacin, micafungin, phenytoin, phytonadione, peperacillin-tazobactam and sodium bicarbonate. Compatible with 5 or 10% dextrose solutions, NS, LR. * Mechanism of action: synthetic catecholamine with primarily beta1-adrenergic activity, acting as an inotropic vasopressor.
Symptoms include abdominal distress like diarrhea, bloating, abdominal pain and flatulence. lactose intolerance can be treated with commercially available lactase (tablets) or with probiotics such as Lactobacillus bulgaricus and Streptococcus thermophiles. It has been observed that consumption of milk containing Bifidobacterium longum and L. acidophilus cause significantly less hydrogen production and flatulence. The combination of Lactobacillus caseishirota and Bifidobacterium breve (Yakult) has shown better effect and improved the symptoms of lactose intolerance significantly (Vonk et al.