Fluid and Electrolyte Discrepancy Paper
School of Akron
Homeostasis of fluid and electrolyte balance is important for the entire body to be able to function. The breastfeeding student will take care of the risk, pathology, and signs or symptoms for the two fluid deficit and hypokalemia. The medical student will even apply these findings to the patient certain information through the clinical day February almost eight, 2011. This will likely give her the ability to formulate four distinct nursing diagnosis and evaluations of interventions and effects. Review of the patient's circumstance
DS was accepted to the medical center for a ventral hernia restore and a tiny bowel resection on January 30, 2011. During recovery from the surgical procedure, DS acquired Clostridium Difficile. She also provides a history of hypertonie, chronic obstructive pulmonary disease, and has endured a myocardial infarction. DS smokes a pack of cigarettes daily and states the girl with guilty of ingesting poorly. The lady said your woman does not take her " heart pillвЂќ routinely and deserves every one of the health issues she has had. A ventral laxitud repair is usually caused by a prior surgical incision where the muscles is fragile, but can even be caused by a obviously thin put in place the muscle wall. Some of the feces can protrude through this kind of weakness in the muscle wall structure causing a hernia. To be able to correct this matter, a small piece of surgical fine mesh is surgically inserted to strengthen the muscle tissue wall. The muscle tissue increases into and around the surgical fine mesh to form a better muscle wall structure. The patient has a Jackson-Pratt drain to bring off excess fluid through the surgery. The nursing college student emptied this kind of drain by the end of the scientific day and was able to drain 40 closed circuit. As stated previously, the patient was having several postoperative problems and through a stool sample was able to find away she got Clostridium Compliquer. Clostridium Compliquer is a gram-positive spore-forming bacillus. This bacillus can be found in the planet and is not always harmful. It is resistant to the acidity with the stomach and grows inside the stomach. The colonization of C. Dif causes mucosal damage and inflammation. It is commonly found in people currently taking antibiotics or perhaps who have been in the hospital intended for an extended stay. It is also common to find C. Dif in patients who have recently had an abdominal surgery like DS. C. Dif also raises capillary permeability and induces intestinal peristalsis. This is why a common symptom of C. Dif is usually watery diarrhea and belly pain. C. Dif may cause lacks, lacerations inside the large intestinal tract, and kidney failure. In order to find out in case the patient offers C. Dif a stool test must be directed down to the lab. Antibiotics are more comfortable with treat C. Dif (Patho book 933). DS was prescribed various medications your woman was not acquiring because the girl refused to let intravenous access. |Medication |Reason Perscribed | |Famotid PO 20 mg daily |To treat and keep duodenal ulcers | |Gabapentin PO 600 mg every 8 hours |To handle hot sensations or neuropathic pain | |Heparin subcutaneous injections five, 000 devices every almost 8 hours |To prevent profound vein thrombosis, pulmonary bar, or peripheral | | |embolism | |Metaprolol Tartrate PO twenty-five mg every single 12 hours |To treat hypertonie | |Metronidazole PO five-hundred mg just about every 8 several hours |To stop postoperative attacks | |Nicoderm transdermal plot 14 mg ever one day |To help the patient in...
Citations: Patho book
Ackley, B. & Ladwig, G. (2008). Medical diagnosis handbook: An facts based tips for
planning attention (8th education. ). St . Louis: Mosby.