Question

Information

Scenario 1 Identify the Types of Angina Nursing Management of a Patient with chest pains Scenario 2 Identify the Quadrants of the Abdomen and Organs location Distinguish between Reflux, Gastritis and Peptic Ulcer Nursing Management of a Patient with Abdominal Pain

Answer 1

PAGE No. DATE / Types of Angina Angina : It is a chest pain resulting from myocardial ischemic Types : 4Stable Angina :It is paroxysmal chest pain or discomfort triggered by a predictable degree of exerton like walking 20 feet or emotion. characteristically a stable pattern of lonset, duration, severity & relieving factor is present 2y unstable Angina. It is paroxysmal chest pain triggered by an uppredictable degree of exertion or emotion which may accur at night attácks characteristically increase in

PAGE NO DATE / / / numbes ,cusation e severity overtime requires immediate medical attentio 3> variant Angina. It results from coronary artery spasm & may be associated with elevated st segment once It is of longer duration attack, may occur while the chint is at rest. 47 evocturnal Angina : It is associated with rapid eye moment sleep dusing dreaming 5 dngina Decubitus? It is paroxysmal chest pain that occurs when the client reclines & lessens when the client sits or stand-up.

PAGE No. DATE Abdominal Quadrants & organs Right I Left Hypochondrium Right Epic lett Jdypochondrium PliveřGall bladder bispo -gastric bypo spleen, colon Rt. Kidney, Schond Region chond / Left Kidney, Small intestine rium rium/ pancreas Right Lumbar & Right Umbili Left Left lumbar - Call bladder, liver/lumb. o lumbar Descending color Right colon as Recan ] Lft. Kidney. Right Hypo Left Right Iliac liliac -gas iliac Left Iliac: Soppendix Region - Yrium Region Descending cecum I colon, sigmoid colon Umbilical Region- umbilicus, Pasts of small intestine, Duodenum Hypogastric Region usinasy bladder Sigmoid.colon, Female Reproductive organ

DATE Nursing Management of with Abdominal Patient pain Abdominal pain is pain from inside the abdomen or the outer muscle wall ranging from mild to severe intensity & requiring emergency case It can be caused by infection abnormal growth , inflammation, obstruction, & interstinal disorder, bacteremia etc > er using management of edbdominal Pain include 17 eAssessment : usses the level , location, intensity of pain complaink of decreased appetite, nausea, vomiting, tenderness, sestlessness, diarrhea, p/ constipation any surgery,

PAGE NO DATE / / othes medical illness, shood poisoning, trauma guarding intake & output. Perform complete head to toe physical examination Abdomen : Localization of pain, muscle tenderness, abdominal sound, scar, umbilicus 2) Wussing Dignosis: Acute pain related to any etiological cause of abdominal pain ( infection inflammation) etc. 37 outcome client will experience decreased or an absence of pain 47 ewussing intervention & Rationale: Assessment of pain to obtain baseline data to plan nussing care

PAGE No. DATE control pain by. • repositioning to reduce pressure on abdomen & prevent reflux like semitowler's position hot/ cold application to reduce pain! o medications muscle relaxants Coverans analgesic, antacids etc. as per doctor's order. Dietary modification :: Small fiequent feedings, semisoft foods, avoid hot, spicy foods, iced foods, alcohol & to bacco, chew food thoroughly for lubrication in food passage Diversion techniques : Reading, Singing . dancing etc ; yoga, meditation • Increase thuid intake to prevent electrolyte imbalance & facilitate normal bowel Patterns 5) Evaluation client reported reduction in pain after nussing intervention

PAGE No. DATE / / / - Reflux a Gastritis Peptic ulces related to related to it is a irritation in irritation & deeper open the oesophagus inflarthe sore in mmation the lining of of the stomach the stomach 1 lining. usually feels pain is pain tends to like burning located in occur after chest pain the upper eating begining behind center part the breastbone of the abdomen emoving upwasd often radiale to the neck & to back throat Shool color may Black, lassy Black, tassy be yellow sticky stool & sticky stool due to bleeding