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a gallbladder patient is in severe pain and has vomited some what do you correct first his pain or his fluid status?also an acute pancreatitis patient needs his pain meds and a liver cirohossis(spelling) patient was confused last night who do i see first this morning?
q1. fluid status is related to circulation always follow the abc's of nursing. fluid status is more important than pain.
q2. liver cirrhosis with acute confusion is a mentation issue which is most likely hepatic encephalopathy. a confused patient is more likely to fall, i.e. is a safety issue. safely is more important that pain. this is just my .
good luck.
Agree with fluid status, but in correcting his pain you can correct his fluid status (IV & fluids, anti-nausea medicine, and pain medicine). That is typically what is done. Therefore, the answer is yes. Love Medline (http://emedicine.medscape.com/article/1950020-overview#aw2aab6c15). See the section on management in the ED and Medical Care: Analgesia.
On the second one, I agree 100% with bloodlikefire. Solid reasoning.
cwvpool
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a gallbladder patient is in severe pain and has vomited some what do you correct first his pain or his fluid status?
Also an acute pancreatitis patient needs his pain meds and a liver cirohossis(spelling) patient was confused last night who do i see first this morning?