A 30-year female comes in complaining of nausea and vomiting x1 week. Client has flu like symptoms. Client has been taking Midol 2 tablets q4h and Dayquill 2 tablets q4-q6h for the past week. Vital signs: BP 96/58, HR 119, RR 20, T 99.0, and 02 saturation 95% on room air. Client complain of pain 5/10 and it is an aching right upper quadrant pain.
History:No PMH
Family History: Father (DM & HTN), Mother (Stroke), Paternal Grandparents (DM, HTN, HLD, Stroke)
SurgicalHistory:None
Medication:None
Allergy:None
Case Study Questions:
1.The additional information which requires is
A. In physical examination -murphy's sign - after placing hand on the right upper quadrant region and ask the patient to breath deeply then the patient will experiance pain if she has cholecystitis
B. Blood test - total blood count
C.Abdominal ultrasound or C.T scan report
D. Food habbits.
2. Her signs and symptoms shows acute cholecystitis.
3. Nursing care - provide adequate rest
- pain management
- maintain fluid and electrolyte balance by recording intake and output .
4. On Physical examination - positive murphy's sign will be present :- place the hand on the right upper quadrant and ask the patient to deep breathly then the patient will experiance pain .
- flu like symptoms .
- nausea and vomitting
-leucocytosis
5. Blood test -total blood count in that elevated white blood cell and elevated c-reactive protein level indicate infection.
-High bilirubin level when gallstones partially or completely obstruct bile flow .
- Abdominal ultrasound or CT scan - in that images of gall bladder may reveal signs of cholecystitis
- HIDA scan ( hepatobiliary iminodiacetic acid scan ) to diagnose problems of gall bladder.
A 30-year female comes in complaining of nausea and vomiting x1 week. Client has flu like...
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