TatumPatient care worksheet.docx - SWC ADN 112L Patient Care Worksheet(30 points Student\u2019s name Tatum Prince Medical History(5 points Date Patient

TatumPatient care worksheet.docx - SWC ADN 112L Patient...

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SWC ADN 112LPatient Care Worksheet (30 points)Student’s name: Tatum PrinceDate 10/25/19Medical History:(5 points)Patient Initials: MB Age: 41 Gender: Female Admission date: 10/25 Family: n/a Occupation: n/a Religion: n/aCode status: Full Code Height: 5’3 Weight: 145 Allergies: NKA Admitting Diagnosis: Uterine endometriosis, menometrorrhagia, pelvic pain Past medical history: Patient has a long history of heavy vaginal bleeding and pain with menstruation cycles History of present illness: on 10/25, patient had a robotic assisted total laparoscopic hysterectomy BILATERAL SALPINGECTOMY due to heavy vaginal bleeding with menstruation cycles accompanied by painCurrent course of treatment: robotic assisted total laparoscopic hysterectomyDiscuss Pathophysiology of primary diagnosis: Primary diagnosis is endometriosis, which occurs when endometrial cells are transported from the uterine cavity during menstruation and subsequently become implanted at ectopic sites. Recommended medical treatment: perform a robotic assisted total laparoscopic hysterectomy, manage pain post-surgical procedure with acetaminophen and ibuprofen – continue to manage pain at home with naproxen Recommended nursing management: assess patients pain level on a scale of 1-10, administer scheduled acetaminophen and ibuprofen for the management of pain. Administer PRN morphine if pain does not subside. Clinical manifestations: presenting symptoms of endometriosis is cyclical pelvic pain,which occurs at time of menstruation. Menstrual irregularities may also accompany endometriosis 1
CURRENT & PRN MEDICATIONS Medication OrderTimeDueGeneric orBrand name,Abbreviation,&ClassificationMedical Dx&/orIndication

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