OF ADVANCED PRACTICE NURSING-AN INTERPROFESSIONAL APPROACH 6TH EDITION DUNPHY IIB

OF ADVANCED PRACTICE NURSING-AN INTERPROFESSIONAL APPROACH 6TH EDITION DUNPHY IIB Chief complaint abd. pain - ANSWER Careful history HPI (especially) Pain assessment Onset, timing Location Duration Characteristics/Associated factors Visceral pain is dull and poorly localized Parietal pain is sharp and localized Colicky pain comes and goes Burning pain is caused by irritation from gastric contents Aggravating factors, what makes it worse? Relieving factors, what makes it better? Treatment, what med./tx has been tried? Visceral pain is - ANSWER dull and poorly localized Burning pain is caused by - ANSWER irritation from gastric contents Parietal pain is - ANSWER sharp and localized Colicky pain - ANSWER comes and goes Aggravating factors, - ANSWER what makes it worse? Relieving factors, - ANSWER what makes it better? Physical Exam GI - ANSWER Heart and Lungs Abdominal exam—inspection, auscultation, percussion, palpation Digital rectal exam Vaginal exam Tests CBC Liver function tests (LFTs) Serum chemistries/CMP Urinalysis Stool for occult blood Pregnancy test what would you think about with sudden severe pain - ANSWER Appendicitis Intestinal perforation Mesenteric infarction Dissection or rupture of aortic aneurysm Ectopic pregnancy Burning pain- thoughts on what it would be? - ANSWER Gastroesophageal reflux disease (GERD) Gastritis Diverticulitis What would you think about with constant mild to severe pain - ANSWER Pancreatitis Cholecystitis-Cholelithiasis What would you think about with crampy or colicky pain? - ANSWER Intestinal obstruction Inflammatory bowel dz. Irritable bowel Salpingitis Urinary stones Cholelithiasis Constipation Appendicitis is? - ANSWER the inflammation of the variform appendix caused by an obstruction and/or infection Appendicitis is the most common cause of ________ ______ pain requiring surgical intervention? - ANSWER acute right lower quadrant abdominal How many appendectomies are done annually? - ANSWER 200,000 Appendicitis occurs at any age but is most common between ages ____ and _____ - ANSWER 10 and 30 Men are ______ as likely to be diagnosed with appendicitis between 10 and 30 years than women, but this equalizes over the life span. - ANSWER twice _________ will affect 10 in 100,000 people in the United States, with a lifetime risk for individuals projected at 7%-10%. - ANSWER Appendicitis Appendicitis is more common in ________countries. - ANSWER Western