Ms. kas, 29 years old, presents to the triage nurse at the local emergency department, complaining of severe general;ized abdominal pain. She describes the pain as sharp and intermittent. She states, "Over the last four days, I have not been able to have a bowel movement." She states that she is able to drink liquids and is urinating without difficulty. Bowel sounds are present in all four quadrants, however, they are hypoactive (decreased or quiet peristalsis). Abdomen is distended and firm to touch. She states, "two weeks ago I feel and hurt my back. My doctor gave me a prescription for Tylenol #3 and i have been taking it every six hours for pain. " She denies pain at the present time. Abdominal X rays reveal a large amount of stool in her lower colon. All other diagnostic tests are unremarkable.
1. make nursing care plan,
and nurses notes
regarding this case.
Im no nurse, but my first thought was the tylenol 3. Codeine constipation - happens every time I take it. Two weeks/every six hours is alot of time on it, blah. Id be hurtin too. Just my untrained two cents.
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.