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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 who would you visit first in the morning an acute pancreatitis patient who needs his pain medication or a liver cirhossis(spelling) patient who was confused last night?

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Specializes in PICU, Sedation/Radiology, PACU.
a gallbladder patient is in severe pain and has vomited some what do you correct first his pain or his fluid status?

Also who would you visit first in the morning an acute pancreatitis patient who needs his pain medication or a liver cirhossis(spelling) patient who was confused last night?

1. Vomiting once is not going to cause fluid imbalance. He is vomiting because he is in pain. So if you correct the pain than the vomiting should correct itself too.

2. Acute pancreatitis is very painful, but it's also an expected part of the disease. Confusion is not inherantly associated with liver cirrhosis, so you want to assess the person who has the unexpected symptoms. (In real life, you'd probably quickly bring the pain med and do a focused assessment on the pancreatitis patient. Then do a longer assessment on the confused person. However, NCLEX wants to to recognize who is most abnormal/in the most danger and therefore in the most need of being assessed.

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thank you

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