Pouchitis

[enfermeratobe]

Hello everyone I need help with my clinical write up I have a patient with pouchitis which is the first time I've ever heard of this before I am having a hard time finding why my patient has low hgh , rbc, low k , low phosphorous i am looking online and do not see much information about this dx any thing will help thank you

[Meeshie]

I won't do the legwork for you but I will point you in a direction. Cleveland Clinic has information on pouchitis that would be useful to you.. as does the Mayo clinic. Also, if your school has an online library resource for journals and peer reviewed resources then putting in this diagnosis would likely lead to quite a few scholarly articles.

[nutella, MSN, RN]

I googled the term and there is a lot of information out there for example this here

Pouchitis: Causes, Symptoms & Treatment | Cleveland Clinic

to help understand what the actual issue is, what the underlying illness could be that led to surgery, why a patient can get pouchitis, the symptoms, and so on.

As for your questions about the lab results - if this is connected to a real patient in clinicals or case study you have to look at the whole situation and problem. Just isolated blood results will not tell you the whole story. Once you understand why the patient had the surgery, you can go from there. What are other problems related to that underlying illness/problem? How is nutrition (especially with the constellation of blood results) ? What medications ? Look at the overall situation / social assessment.

In my opinion, a thorough nursing assessment and review of history / symptoms/ physician note usually points you into the right direction.

Once you get the right idea, you can find the right nursing diagnosis, nursing interventions, and other recommendations.

Good Luck!

[traumaRUs, MSN, APRN]

Moved to nursing student assistance

[enfermeratobe]

unfortunately our teacher only gives us a certain set of labs I see the WBC is elevated which could indicate infection hgb and hct are low which I assume is from blood loss during surgery if the patient has had surgery electrolytes are off as well which can be due to pouch not processing electrolytes correctly if its inflamed .I was not told whether or not this patient has recently had surgery or if they were a readmit due to complications which leaves me guessing. The nursing dx I feel were appropriate were risk for imbalanced nutrition, risk for depression, risk for dehydration and electrolyte imbalance due to diarrhea I see this is tied closely with ulcerative colitis I just want to make sure the way im reasoning this makes sense. Thanks for your help! :)

[Kuriin, BSN, RN]

While psychosocial is an important factor, I don't believe "Risk for depression" is a good one in this case. Your others are physiological and are very important, so I agree. *thumbs up*