Answer :
Q. No. 1. Answer :
* Mr. West is taking home medications , in that he was taking NSAIDS like Toimentin 400 mg tid,
* the NSAIDS causes gastrointestinal bleeding, because those are causes to damage the gastroduodenal mucosa like through some mechanisms like tropical irritant effect on gastric epithelium and mucosa and it leads to supreses the gastric prostaglandin synthesis and it reduces the gastric mucosal blood flow leads to bleeding.
Q. No. 2. Answer :
The most serious potential complications of Mr. West GI bleeding includes,
* Hematemesis ( coffee colored vomiting)
* Malena ( blood in stools)
* hematochezia, ( maroon coloured stool)
* Due to more blood loss Anemia,
* due to lack of oxygen supply chest pain, and syncope and finally shock.
Because here the patient is having dark red diarrhea, it indicates patient is having GI bleeding complications.
Q. No. 3. Answer :
Demonstration of patient admission assessment
* Name : Mr. West.
* Age : 70 yrs.
* Sex : Male
* time of admission : 4.30 Am.
* Ward : emergency department
* Vital signs : blood pressure : 70 systolic and diastolic not detected.
Pulse 110 beats per minute.
* chief complaints like : dark red diarrhea and dizzy and disorientated.
He is having history of Idiopathic cardio myopathy, congestive heart failure, peptic ulcer and arthritis.
And he is on home medications.
Q. No. 4. Answer :
Signs and symptoms of Gi bleeding :
According to his wife complaints :
* dark red colored stool,
* disorientated,
* dizziness
These are direct signs and symptoms.
* hypotension like systolic pressure 70 mm of hg, and not detectable diastolic blood pressure,
* 110 beats per minute, weak and obliterated purse are the indirect signs.
CARE PLAN DEHYDRATION Charles West, a 70 y/o man was brought to the Emergency Department at...
CARE PLAN DEHYDRATION Charles West, a 70 y/o man was brought to the Emergency Department at 4:30 AM by his wife. She told the emergency room triage nurse that he has a lot of "dark red" diarrhea for the past 3 days and last night. When he became very dizzy, disoriented and weak this morning, she decided to bring him to the hospital. Mr. West's vital signs were B/P 70/- (diastolic blood pressure inaudible) Pulse 110 weak and easily obliterated,...
CARE PLAN DEHYDRATION Charles West, a 70 y/o man was brought to the Emergency Department at 4:30 AM by his wife. She told the emergency room triage nurse that he has a lot of "dark red" diarrhea for the past 3 days and last night. When he became very dizzy, disoriented and weak this morning, she decided to bring him to the hospital. Mr. West's vital signs were B/P 70/- (diastolic blood pressure inaudible) Pulse 110 weak and easily obliterated,...
CARE PLAN DEHYDRATION Charles West, a 70 y/o man was brought to the Emergency Department at 4:30 AM by his wife. She told the emergency room triage nurse that he has a lot of "dark red" diarrhea for the past 3 days and last night. When he became very dizzy, disoriented and weak this morning, she decided to bring him to the hospital. Mr. West's vital signs were B/P 70/- (diastolic blood pressure inaudible) Pulse 110 weak and easily obliterated,...
CARE PLAN-DEHYDRATIUN Charles West, a 70 y/o man was brought to the Emergency Department at 4:30 AM by his wife. She told the emergency room triage nurse that he has a lot of dark red" diarrhea for the past 3 days and last night. When he became very dizzy, disoriented and weak this morning, she decided to bring him to the hospital. Mr. West's vital signs were B P 70. (diastolic blood pressure inaudible) Pulse l 10 weak and easily...
CARE PLAN - DEHYDRATION Charles West, a 70 y/o man was brought to the Emergency Department at 4:30 AM by his wife. She told the emergency room triage nurse that he has a lot of "dark red" diarrhea for the past 3 days and last night. When he became very dizzy, disoriented and weak this morning, she decided to bring him to the hospital. Mr. West's vital signs were BP 70/-(diastolic blood pressure inaudible) Pulse 1 10 weak and easily...
PN 200 Fundamentals of Nursing II Case Study: Hypovolemia/Deficient Fluid Volume Charles West, a 70 y/o man was brought to the Emergency Department at 4:30 AM by his wife. She told the emergency room triage nurse that he has a lot of "dark red" diarrhea for the past 3 days and last night. When he became very dizzy, disoriented and weak this morning, she decided to bring him to the hospital. Mr. West's vital signs were B/P 70/- (diastolic blood...
PN 200 Fundamentals of Nursing II Case Study: Hypovolemia/Deficient Fluid Volume Charles West, a 70 y/o man was brought to the Emergency Department at 4:30 AM by his wife. She told the emergency room triage nurse that he has a lot of "dark red" diarrhea for the past 3 days and last night. When he became very dizzy, disoriented and weak this morning, she decided to bring him to the hospital. Mr. West's vital signs were B/P 70/- (diastolic blood...
PN 200 Fundamentals of Nursing II Case Study: Hypovolemia/Deficient Fluid Volume Charles West, a 70 y/o man was brought to the Emergency Department at 4:30 AM by his wife. She told the emergency room triage nurse that he has a lot of "dark red diarrhea for the past 3 days and last night. When he became very dizzy, disoriented and weak this moming, she decided to bring him to the hospital. Mr. West's vital signs were B/P 70/- (diastolic blood...
PN 200 Fundamentals of Nursing II Concept Map: Hypovolemia/ Deficient Fluid Volume Charles West, a 70 y/o man was brought to the Emergency Department at 4:30 AM by his wife. She told the emergency room triage nurse that he has a lot of "dark red" diarrhea for the past 3 days and last night. When he became very dizzy, disoriented and weak this morning, she decided to bring him to the hospital. Mr. West's vital signs were B/P 70/- (diastolic...
Write a Nursing care plan on the follownig care study using the rubric case study: Management of Patients With Kidney Disorders Dudley Wayne is a 62-year-old factory worker. Mr. Wayne makes an appointment with his primary care practitioner because he has lost 15 pounds in the last 2 months, and has recently noticed blood in his urine. He denies pain on urination. During the admission assessment, Mr. Wayne states that he is a two-pack-per-day smoker and just thought he...