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Patients need to be taught how to use a pain intensity rating scale and encouraged to ask for medication before the pain becomes too intense. Nurses must also discuss non-drug pain management techniques such as repositioning and avoiding quick movements. Pain medication should be administered as ordered, and monitor for its effectiveness. Patient's vital signs should be monitored with special attention given to signs of perforation. I.V fluids and antibiotics should be administered as prescribed. Applying heat to the abdomen or administering cathartic medications or enemas, which could trigger perloration, should b e avoided. Patient's should be taught what the surgery entails and what to expect afterwards, such as early ambulation, coughing and deep breathing with wound splinting, and the use of incentive spirometry (Rocca, 2007).
During postoperative care patients should be assessed for complications and prepared for discharge. Nurses should monitor vital signs, pulse oximetry readings, and lab results, especially the WBC count. The incision site should be checked for signs of infection. It should be...
A head-to-toe physical assessment should be performed with a special focus on the abdomen, including bowel sounds and the presence of distension. Findings should be documented in the patient's records. The patient should be assessed for nausea or vomiting and antiemetics should be administered as ordered. The Nurse should continue assessing the patient's pain, using the same pain scale that was used before surgery. The patients should be helped to walk as ordered to prevent deep vein thrombosis and other complications. They should be shown how to splint their wound and encouraged to cough and deep-breathe while silting on the side of the bed. When a patients bowel function returns, they can gradually start taking food and fluids by mouth. A patient who's had an uncomplicated laparoscopy to remove a non-perforated appendix is usually discharged from the hospital within 24 hours. This rapid recovery is due to the care that the nurse gives the patient while they are in the hospital (Rocca, 2007).
References
Rocca, Joan Della. (2007). Minimizing the perils of appendicitis. Nursing. 37(1), 64.
The appendiceal carcinoid tumor is usually innocuous (Kulke & Mayer, 1999). A small tumor, it is often found by accident when the appendix is removed for some other reason. It can, however, contribute to acute appendicitis in rare cases, such as what took place in this case. It is diagnoses in females more frequently than males, but it is believed to be equally prevalent in both sexes (Kulke &
Initial tests may be culdocentesis, hematocrit, a pregnancy test, a qualitative HCG blood test, a transvaginal ultrasound or pregnancy ultrasound and a white blood count test. An ectopic pregnancy can be distinguished from a normal intrauterine pregnancy through a rise in quantitative HCG levels. Declining B-hCG levels is indicative of an ectopic pregnancy (Kulp & Barnhart 2008). AD & C, laparoscopy and laparotomy tests will confirm the diagnosis (Chen). An
Medical Misdiagnosis: Criminal ImplicationsPhysicians are placed in a position of great trust as experts. This is one of the many reasons that the issue incites such strong feelings in the public, regarding how the law penalizes and addresses issues pertaining to medical misdiagnosis. Many medical diseases are so-called great pretenders, especially in their early stages. For example, chest pains may be the result of anxiety or a heart attack. In
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Title: Pediatric Surgery: Providing Care for Our Youngest Patients Introduction Pediatric surgery is a specialized branch of medicine that focuses on providing surgical care to infants, children, and adolescents. This field of medicine addresses a wide range of conditions that require surgical intervention, such as congenital anomalies, traumatic injuries, and acute or chronic illnesses. Pediatric surgeons are trained to provide comprehensive care to their young patients, ensuring that they receive the