The patient was admitted on January 30, 202 1 at 7 :0 0 am with a chief
Question:
The patient was admitted on January 30, 2021 at 7:00 am with a chief complaint of abdominal pain 8/10 with hematemesisand melena, was admitted to male medical ward of East Avenue Medical Center, hooked to D5NR 1L X 12 hours at DF of 15. Admit to:
Diet: NPO, then regular diet no coffee or tea
Vital signs: Every 4 hours, postural BP
IVF to follow: D5NR 1L X 12 hours, D5NM 1L X 12 hours, (then alternately)
Diagnostics: Barium swallow, Fecal Occult Blood, CBC, Urinalysis, Na, K, Amylase, Ca, ECG, Whole abdomen Ultz, Upper GI endoscopy
Monitor: Pain, Bleeding
Therapeutics: Medical Management
Bed side care
Assess GI status to monitor signs of bleeding
Monitor and records, V/S, I and O, and lab studies
Relieve of pain by adherence to medication and avoid foods that cause mucosal irritation
DAT to meet the metabolic demands and promote wound healing
NGT insertion for saline lavage until return is clear if bleeding is present
Maintain position and patency of low suction of NGT
Blood transfusion of PRBC 4 units of blood after properly checked and cross matched
QUESTION
1)MAKE 2 NCP FOR THIS CASE
2) make Diagnostics test result for the following :Barium swallow, Fecal Occult Blood, CBC, Urinalysis, Na, K, Amylase, Ca, ECG, Whole abdomen Ultz, Upper GI endoscopy
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ISBN: 978-1305948372
4th edition
Authors: William H. Putman, Jennifer Albright