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Skills Practicum

Skills Practicum. Abdominal Pain Scenario 2. You. Are working in the ER as a nurse. Patient. 23 year old Male arrived at Emergency Room by private vehicle He states he is having abdominal pain that started early this morning. It is now 1100. What do you do?. What you see and what he says.

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Skills Practicum

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  1. Skills Practicum Abdominal Pain Scenario 2

  2. You • Are working in the ER as a nurse.

  3. Patient • 23 year old Male arrived at Emergency Room by private vehicle • He states he is having abdominal pain that started early this morning. It is now 1100.

  4. What do you do?

  5. What you see and what he says • He is a little pale and anxious • No trauma • Nothing like this before • No travel • Nauseated and hot • Ate last night. • No previous hx of surgery • No diarrhea • Sudden onset of pain

  6. Nursing Assessment • Temperature: 101 °C • Respirations: 24 • Blood Pressure: 152/95 • Pulse: 96 • Pulse Oximetry: 95% • Lungs clear bilaterally • Heart sounds S1S2 (lub dub) are regular • Bowel sounds hypoactive throughout • Abdomen tender all over but more in RLQ • Involuntary guarding

  7. Dr.’s Assessment and Tests • Lab – CBC with differential and chemistry • UA – strain the urine • IV at 100cc/hr • Pain medication per orders after surgical consult

  8. Initial treatments

  9. What do you think is wrong with the patient?

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