Sunday, September 15, 2013

Abdominal Assessment

Patient is a 64 y.o male diligent with mutual renal failure who has recently undergone peritoneal dialysis in the infirmary setting. Patient has complained that his quality of life would not be the alike(p) if he would substantiate to go and have this done at a dialysis clinic, on that pointfore, he has been taught by nurses how to perform the ex commutes on his suffer at home. Patient has H.I.T, so he is unable to have haemodialysis performed. After a 7 day scarper of hospital care and education, the patient has been performing 4 exchanges every early(a) day. Patient refuses to accost 911 for sudden development of fever, chills and severe give out abdominal pain. Daughter brings patient to emergency department. Questions to ask the patient: When was the go away time that you performed the peritoneal dialysis? When did you notice the fever and chills began? During the last exchange, was there any color difference in the dialysate? Was it muddy in color?
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How would you describe this abdominal pain? Is it a dull, radiating, or stabbing pain? Would you say that your stomach is more distended than usual? Have you had any pain with urination or intestine movements? How often are you changing the back at your catheter site? Is there any drainage on the dressing when you change it? If so, what color and how much? Do you reuse equipment? Do you examine the expiration date and color of the dialysate fluid in the offset printing place you let it dwell in your abdomen?If you desire to vanquish a full essay, order it on our website: BestEssayCheap.com

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