Published Feb 18, 2009
stephynic21
27 Posts
I'm having a bit of trouble getting the wording right on my diagnosis. I know what i WANT to say, but i'm not sure how to say it.
Mine are:
Acute pain related to inflammation and painful abdominal cramps AEB reporting 7 on 1-10 pain scale.
Constipation related to decreased motility of GI tract.
Imbalanced nutrition: less than body requirements related to impaired absorption secondary to clear liquid diet.
Here's some info on why i chose them. My pt has IBS and was admitted for acute ischemic colitis. She actually constipation now (not a risk for), but it also said in her chart that since she was admitted (2/14) that she has had bloody stools. She was also hypokalemic and dehydrated and had 0.9 NS with 20meq KCL/L 125cc/hr but that has been resolved because her IV is now heplocked. There was infection but that seems to be cleared up because labs came back normal (after abnormals). I'm not sure why she is still there (we have clinicals tomorrow, i just picked up info today). I looked it up on the internet and it said that with dehydratiion and hypokalemia that she would be admitted to provide fluids and electrolytes.
Do those diagonsis make sense? And should i level pain or constipation as my priority. I was thinking constipation, but the pain scale number is really high. Any help will be greatly appreciated.
Daytonite, BSN, RN
1 Article; 14,604 Posts
(1) acute pain related to inflammation of colon aeb report of abdominal pain of 7 on scale of 0-10.
(2) imbalanced nutrition: less than body requirements related to impaired absorption secondary to clear liquid diet.
(3) constipation related to decreased motility of gi tract aeb []