Hey, I'm new to the site & I love it so bear with me. I have a question about a NCP for school. I'll be graduating in MAY! Here's the situation:
49 y/o male admitted over a week ago with End Stage Liver Disease as well as anemia, cirrhosis, sepsis, ascites, pruritis d/t allergic reaction to Lasix, leukocytosis. He's on fluid restriction of which he was reluctant to comply. His labs were all over the place. This guy had a paracentesis on 02/20 to the RLQ for the ascites. His abd was distended and hard. His stools were tarry w/visible blood present. He had pulled is PICC line out and replaced it the day I was there. I have plenty psychosocial ones to address.
We have to have 4 physiologic NCP's and I'm not sure which one to address 1st, 2nd, and 3rd. I have ideas of individual care plans
, but which one would be addressed 1st. I don't know whether to focus on the anemia, spepsis, or the ascites.
I'm going to thank everyone in advance, I've tryed talking to my instructors. But they don't even want to direct me in the right direction. I'm not asking them to do the care plan, I need help knowing which to address 1st.