Misty0719

Thank you so much this is wonderful........this really is a big help.

since her problem is with her abd. here is my abd assessment: abd is soft and distended, compains of pain over entire abd 7 on 1-10 scale. bowel sounds audible x4. NG to LCS draining dark green fluid. C/o nausea without vomiting. Expelling large amounts of dark brown liquid BM. Integ: skin warm dry and fleshtone. surgical incision mid-abd area intact with staples present. lower portion of incision has half-dollar size opening approx 1 1/2 in deep pink around edges draining mod. amt of serous fluid. Left to abd incision is a quarter size opening approx 1/2 inch deep pink around edges draining small amt of serrous drainage. GU: has foley patent with amber urine. Complaints of abd pain, anxiety, and nausea. I hope this is a little better. :icon_roll

Thanks ur info is very helpful. I do have more info 3 weeks prior to sbo pt had exploratory laparotomy, lysis of adhesions, segmental sigmoid colon resection, and reversal or colostomy, npo for approx 4 days then place on clear liquids the last day i cared for her. BUN, na, k, an cl are all low. abdominla incision is + for mrsa and dehissence at the lower portion and the site of the previous colostomy.

I am doing my first care plan for school and having a hard time coming up with a nursing Dx. It is on a small bowel obstruction. My instructor wants our first dx to be related to the primary dx. I can come up with a good way to word it. it has to be NANDA and with r/t and AEB. the pt had an ng tube to lcs, however no signs of dehydration, had an iv with d5 1/2 w/30KcL @125cc/hr. abd distension. persistant diarrhea. she wants us to use maslows to determine our priority. i am so lost. please help!!!!!!!