first of all thanks for the reply! :spin: this little girl has all kinds of problems, the real medical dx is actually v.a.t.e.r., (or vacterl) which stands for
v: vertebral dysgenesis
a: anal atresia
c: cardiac anomalies
t-e: fistula +/- esophageal atresia
r: renal or radius anomalies
l: limb anomalies
but in this case she did not have cardiac or limb anomalies, they say it is used more as an acronym rather than a diagnosis so that if there are two or more anomalies then the physician knows to look for the other ones. from what i read it is a fairly rare type of birth defect.
they fixed her imperforated anus 6 months ago,
so the chief complaint is (or reason for admission):
is the colostomy removal. you hear so much to follow your abc's but i guess what i am asking is if there are exceptions to the rule? i mean in a case like this she has had this since birth and is being followed by a nephrologist and they already have a plan of care in place, and her renal needs are not being addressed at this time. so i guess i am confused...i mean i know i would be monitoring this anyway because that is all you can really do is monitor vitals, i/o and weight and that is not even what she is here for...ugh i wish all instructors would tell us what they want! i've tried to get in touch w/her but have been unable and i'm coming up on a deadline to email this in so i'm pulling my hair out! i may just include a note explaining my reasoning so maybe she won't count off too much because i am unclear on what she wants!