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Mindmap

Chronic Pancreatitis

mdmanako Englisch

Inhalt der Mindmap

Chronic Pancreatitis

  1. ASSESSMENT

    • Wt. loss
    • Fever
    • Nausea & Vomiting
    • Poor Appetite
    • Abd pain, tender and swollen
  2. DIAGNOSIS

    • Abd pain r/t obstruction of pancreatic, biliary ducts
    • Risk for deficient fluid volume r/t to n/v
    • Risk for infection r/t fever
    • Lack of interest in food
  3. PLANNING

    • Pt. will report relieve of pain
    • Pt. will maintain adequate hydration and good skin turgor
    • Pt.will experience no signs of malnutrition and will demonstrate progressive wt. gain.
    • Pt. will be afebrile free of sign of infection.
  4. INTERVENTION

    • Assist pt. in selecting food and fluid that meets nutritional needs.
    • Maintain adequate hydration, good skin tugor.
    • Monitor V/S and I/O
    • Ausculate heart sounds, note rate and rhythm.
    • Assess abd, noting presence and character of bowel sounds and abd distention
    • Daily wt.
  5. OUTCOME

    • Pt. maintains adequate hydration and good skin turgor
    • Pt. is afebrile and free of infection
    • Pt. report a pain of 2 on a 1-10 pain scale
    • Pt gain wt. and experienced no sign of malnutrition

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Beschreibung
Mindmap am Chronic Pancreatitis, erstellt von mdmanako am 10/12/2013.
Erstellt von
mdmanako
Aufrufe
16
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