This can cause leakage of gastric acid or stool into the peritoneal cavity. Maintain NPO by intestinal or nasogastric aspiration. 2. Burning sensation localized in the back or midepigastrium. Administer antibiotics as ordered. Early detection and treatment of developing complications can help prevent progression to severe illness and injury. Major Nursing Issues and Interventions . Assess vital signs.Recognize persistent hypotension, which may lead to abdominal organ hypoperfusion. The complete lack of or ineffective peristalsis in the esophagus with the inability of the esophageal sphincter to relax in response to swallowing is termed achalasia. Patient will participate in care planning and follow-up appointments. Bowel perforation can increase morbidity and mortality even when treated properly because of post-repair problems such as adhesions and fistula formation. She has worked in Medical-Surgical, Telemetry, ICU and the ER. Attainment or progress toward desired outcomes. Available from: Lewiss Medical-Surgical Nursing. Nursing Diagnosis: Deficient Fluid Volume related to fever/hypermetabolic state and fluid shifting into intestines and/or peritoneal space from extracellular secondary to bowel perforation as evidenced by hypotension, tachycardia, decreased urine output, concentrated urine, poor skin turgor, delayed capillary refill, dry mucous membrane, and weak peripheral pulses. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. In this disorder, the esophagus gradually widens as food regularly accumulates in the esophagus. Includes step-by-step instructions showing how to implement care and evaluate outcomes, and help you build skills in diagnostic reasoning and critical thinking. ulcer surgery, gastric ulcer surgery, or peptic ulcer surgery) is a procedure for treating a stomach ulcer. Primary Nursing Diagnosis Pain (acute) related to gastric erosion Therapeutic Intervention / Medical Management The only successful treatment of gastric cancer is gastric resection, surgical removal of part of the stomach with involved lymph nodes; postoperative staging is done and further treatment may be necessary. As an Amazon Associate I earn from qualifying purchases. From pain and nutrition to coping strategies, explore effective interventions to improve patient outcomes. Encourage the client to eat foods rich in potassium.When a client experience diarrhea, the stomach contents which are high in potassium get flushed out of the gastrointestinal tract into the stool and out of the body,resulting in hypokalemia. There are three major causes of peptic ulcer disease: infection with H. pylori, chronic use of NSAIDs, and pathologic hypersecretory disorders (e.g., Zollinger-Ellison syndrome). Nursing Interventions for Bowel Perforation: What is it and What Do I Gastrostomy tubes: Complications and their management Here are four (4) nursing care plans (NCP) and nursing diagnoses for Gastroenteritis: Diarrhea is a common symptom of acute gastroenteritis caused by bacterial, viral, or parasitic infections because these microorganisms can damage the lining of the digestive tract and lead to inflammation, which can cause fluid and electrolytes to leak from the body.

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