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question about pt symptoms

Nurses   (3,701 Views 16 Comments)
by k8lyns_mommy k8lyns_mommy (New Member) New Member

879 Visitors; 10 Posts

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i tried to post in student forum but the page will not load for me.

My instructor wants me to make a report on this and turn it in, in the morning.

Ok i took care of a male today dx: pneumonia. well he was taking 10 MeQ of potassium and refused b/c he said it hurt his stomach. so no dose of that today. he went and had a BM and then sitting on the edge of bed when i walked in leaned over bed table obviously in pain and saying his stomach hurt so i gave him a hydro PRN. went on lunch came back and his regular nurse gave him zofran IVP b/c hes been vomiting and has a rigid abdomen that wasnt there when i done an assessment 2 hours prior. the hospitalist came in there and wanted an ultrasound and his nurse told me they thought he had a hot abdomen...

Ok, I asked my instructor what that was and she said what do you think? I told her hell, I dont know. so she asked his symptoms. well rigid abdomen, vomiting, cramping that's it.

she wanted me to look online to see what a hot abdomen was and tell her in the morning. No such luck, I have searched it every which way, nothing.

Hot abdomen, what is it? any website i can look at

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DuluthMike has 6 years experience and specializes in ICU, ED, PACU.

4,585 Visitors; 164 Posts

You need to give a lot more information if you want some help. Patient age, past medical history, labs ect ect ect. Maybe then we can help you work through the pathophys of this.

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nursej22 has 30 years experience as a MSN, RN and specializes in med/surg,CV.

1 Follower; 33,917 Visitors; 1,285 Posts

I have not heard this specific term, perhaps is it regional. But I'm pretty sure I know what they are talking about. Think of "hot" in terms of inflammation---what would cause sudden, massive inflammation in the abdomen?

Have you tried googling the symptoms though?

And sorry, but what is a hydro?

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Spacklehead has 14 years experience and specializes in Emergency, cardiac, PAT/SPU, Urgent Care.

5,412 Visitors; 579 Posts

Try doing a search on "acute abdomen" instead and I'm sure you'll get better results with several possibilities as to the cause.

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donnasRN has 3 years experience.

1,704 Visitors; 74 Posts

I haven't heard the term "hot abdomen." I'm only a student but from your description it seems he may be suffering from peritonitis (rigid/washboard abdomen is a classic sign often accompanied by n/v) - although, I'd need more info as the poster replied above. Any s/s of bleeding? Did you auscultate bowel sounds when you did your assessment? What was he in the hospital for? Hx of BO?

Edited by donnasRN

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1 Article; 6,538 Visitors; 520 Posts

In the way I've used it and heard it used, hot = acute. Try "acute abdomen." Means there is something in there (perforation? obstruction?) needing evaluation now, today, over and above the usual bad tummy stuff.

hydro = hydrocodone

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1,938 Visitors; 90 Posts

"hot abdomen" is a way of saying acute abdomen

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ExPharmaGirl specializes in Near Future: ED, Future Future: ACNP!.

9,608 Visitors; 467 Posts

I just did a search and it pulled up some peritonitis related stuff with the search term "hot abdomen"

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1,530 Visitors; 12 Posts

Bowel Obstruction?

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charley75 specializes in ER.

2,040 Visitors; 17 Posts

Have heard many say hot appendix with an appendicitis but never hot abd

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medicrn13 has 3 years experience and specializes in Critical Care.

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he went and had a BM and then sitting on the edge of bed when i walked in leaned over bed table obviously in pain and saying his stomach hurt so i gave him a hydro PRN.

Was it a regular, formed bowel movement? Was it diarrhea? Color? Any frank blood noted? How bad was the pain?

and has a rigid abdomen that wasnt there when i done an assessment 2 hours prior.

Why didn't you assess the abdomen when he began complaining of abdominal pain? Any change in patient condition requires further assessment, something you'll learn later I'm sure, but that is something VERY IMPORTANT to know.

What other medications is this patient on? Agree with others, we need more information before we can help you. Also, curious as to the diagnosis, what did the pt actually have going on?

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