Question

Chloe Anderson is a 34-year-old teacher. She was brought into ARE complaining of severe abdominal pain for the past 2 hours. On examinat clammy to touch and she is guarding her abdomen. Chloe tells the nurse th in the middle of her tummy but has now moved to the lower right-ha She states that on a scale of 1 to 10, where 10 is the worst pain imacifhr and that the pain is constant and intense. Chloe feels nauseous but opened her bowels yesterday. The nurse records a set of vital sigoed, shel 9 team make a referral for an emergency laparotomy Case study by her husband after and side of her abdomen imaginable, her pain scores g has not vomited; la set of vital signs (below) and the medical ted and recorded: On admission to the A&E department the following vital signs were no Vital sign Temperature: Pulse Respiration Blood pressure: 02 saturation: Observation 39.1°C 100 beats per minute 16 breaths per minute 155/110 mmHg 98% Normal 36.1-38.0°C range 51-90 beats per minute 12-20 breaths per minute 111-219 mmHg (systolic) range 296 % A full blood count was performed. Test White Blood Cells (WBC) Neutrophils Lymphocytes Red Blood Cells (RBC) Haemoglobin (Hb) Platelets C reactive protein Result 12.3 × 109/L 8.1 x 109/L 49 x 109/L 4.08 x 10 1/L 136 g/L 278 x 10/L 2 mg/L Guideline normal values 4 to 11 x 10/L 2.0 to 75 x 10 /L 1.3 to 4.0 x 10n 3.8 to 5 x 10/L 130-180 g/L 150 to 440 x 10 /L e5 mg/l

Answer 1

Chole has signs and symptoms of cholecystitis. In cholecystitis patient has pain on the middle of the tummy and thon moved to right hand side of the abdomen.

During preoperative period every patient is anxious and several doubts and also patient has severe pain.as a nurse we have to provide adequate emotional support and information about surgery and it's outcome.it will help to relieve anxiety and doubts.administer analgesic s as prescribed by the physician it helps her to overcome post operative pain also

Narcotics such as morphin and codein can be given.it has side effects such as nausea , vomiting,low heart rates,blooks pressure, respiratory rate,itchi it,rashes etc

Non narcotics such as nsaids such as Ibuprofen also be used