Question

U Concept Map: Acute Diverticulitis Tim Haute, a 57 year old stockbroker, has come to the gastroenterologist for treatment of recurrent mild to severe cramping in his abdomen and blood streaked stool. You are the nurse doing his initial assessment. You findings include a mildly obese man (male pattern obesity) who demonstrates mild guarding of his abdomen with both direct and rebound tenderness, especially in the LLQ. Vital signs are 168/98, P 110, R 24, T. 98.4 and he is slightly diaphoretic. Mr. Haute states that he has periodic constipation. He has had previous episodes of abdominal cramping, but this time the pain is getting worse. PMH: Mr. Haute has a sedentary job with "many emotional moments"; he has smokeda pack of cigarettes a day for the past 30 years and has had "2-3 mixed drinks in the evening" until 2 months ago. He states, "I have not had anything to drink in 60 days." He denies regular exercise with the statement "Just no tie." His diet consists of white bread, meat, potatoes and ice cream with fruits and nuts over it. He denies a history of pulmonary or cardiac and no personal history of cancer, although his father and older brother died of colon cancer. He takes no "routine" medications and denies the use of any other drugs. 1. Identify the general health risk problems this patient exhibits. 2. Identify three (3) key findings on his physical exam and indicate their significance. The physician orders a KUB, CBC, and CMP. Based on the X-ray and lab findings, physical exam and history the physician diagnosis the patient with acute diverticulitis and discusses the outpatient treatment plan with him. 3. Differentiate between diverticulitis and diverticulosis. Revised 9/9

Answer 1

Acute diverticulosis:

to pouch fam along the Intestire & Thickening of sutee wall on the Intestire & leads Narrowire of the Inner space Narrowing causes stool to more more RD slowly

Nursing diagnosis:

Nursing diagnosis. severe abdominal pais) camping * Abdominal bloating de Neil seal vomitting A constipation A Abdominal tenderness

Intervention:

Interventions: monitor vital signs loilultabasa & Provide Bowel rest huumolp att Assess. Abdominal país to monitor hydration status de Administer medication & Provide auraition Education

Positive outcome:

Positive outcome to en & Patient will be free from pair and Injection and will be complaint with appropriate diet and medication regimen

Negative outcome:

de Abdominal pais get senere * Divertimlas Bleeding & many patients will experience paiskas Bleeding and Brught Blood is the stool rectum

Evaluation:

• Abdominal and pelvic CT
• X-ray of lower gastrointestinal tract.
• Blood test and urine test.
• Colonoscopy.