kathrynn815

Thank you so much for your guidance! I had this problem with my last case study because I think too broad and I missed such a simple nursing diagnosis. Would it be too much to ask if after I write my case study that I send it to you just as guidance? I see that you have been a nurse for 35 years and clearly you are very knowledgable! I appreciate how you made me think through this and not just telling me the answer.. that's what I need!

Cirrhosis of the liver?

Fluid volume deficit because of decreased venous filling, dry mucous membranes, tachycardia and changes in mental status (anxiety). My next diagnosis would be acute pain and then risk for shock? Or should I just stick with risk for fluid volume deficit?

I am using risk for shock as my nursing diagnosis because of his blood loss, anxiety, tachycardia, and tachypnea. His temp will also continue to rise and will need to be monitored. Alcohol also acts as a blood thinner on the body and if he is taking something for his stomach, that could have additive effects causing stomach bleeding? Am I getting warmer? lol

NANDA nursing diagnosis

Thank you! I am in my second semester of Nursing school and this is for MedSurg. I was thinking about risk for shock due to sudden blood loss and that PUD should be investigated as the underlying cause for the bleed? This is all of the info I was given for the case study, no labs or anything. From here I can continue with my planning and evaluation. Any thoughts? Thank you :)

What about risk for shock due to sudden blood loss and that PUD should be investigated as the underlying cause for the bleed? This is all of the info I was given for the case study, no labs or anything.

Mr. S, a 50 year old man, has been admitted to the Medical Surgical unit with a diagnosis of GI Bleed. He drove himself to the Emergency Department (ED) after vomiting bright red blood twice within 6 hours. He arrives on the unit alert and oriented X 3 but appears anxious. He is able to provide only a vague history but admits to drinking a "few " last weekend. He knows that he is "supposed to stop drinking" and takes "something for his stomach," but cannot recall the name of the medication. He reports intermittent dizziness and fatigue that has been worsening over the past 2 days. His skin is dry and pale. His abdomen is slightly distended. He reports pain (4 on a scale of 10) in the midepigastric area. Capillary refill is longer than 3 seconds, blood pressure 140/90mm Hg, pulse rate is 110 beats/min, resp rate is 24 breaths/min, and temperature 99 degrees F. I was thinking that my nursing diagnosis for the patient is anemia related to GI bleed related to Peptic Ulcer Disease? Do you agree or have any other input? I need a nursing diagnosis with interventions. Thank you!