Since multiple disorders can be tied to the same symptoms, it is important for advanced practice nurses to carefully evaluate patients and prescribe treatment that targets the cause rather than the symptom. Abdominal pain. It is not typical for uterine contractions to cause pain during breastfeeding … Study Differential diagnosis and mini cases : Nausea/vomiting, abdominal pain, constipation/diarrhea, upper GI bleeding, blood in stool, hematuria, other urinary problems flashcards from Kaka W's class online, or in Brainscape's iPhone or Android app. Abdominal pain that is most intense at McBurney’s point; Rebound tenderness and abdominal rigidity ; Low-grade fever; Elevated white blood cell count; Anorexia, nausea, and vomiting; Client in side-lying position, with abdominal guarding and legs flexed; Constipation or diarrhea; Diagnostic Evaluation . In many cases, the causes are benign with few long-term sequelae. Doctors at Johns Hopkins Medicine say that sometimes, the sharp pains across your abdomen when you are constipated can also be caused by excess gas. TABLE 1 Differential diagnosis for abdominal pain Cause of abdominal pain Common symptoms Common signs Infective gastroenteritis Vomiting, diarrhoea and diffuse abdominal pain. Auscultation may reveal increased bowel sounds. If stomach bleeding has occurred, it may appear pale and vital signs may reveal tachycardia and hypotension. Vomiting in adults with inflammation of the caecum, as a rule, does not recur more than twice at the beginning of the attack, then other symptoms prevail - displacement of pain in the lower quadrant of the abdomen on the right, temperature, lack of appetite. A woman in her 40s presented to our department with lower abdominal pain, lasting for a few weeks, with nausea and vomiting but no diarrhea or fever. • Stomach. Differential Diagnosis of Nausea/Vomiting: 1, 2. Acute Pain 2. Nursing Care Plan for Vomiting. Click for pdf: Approach to Pediatric abdominal pain General Presentation BACKGROUND Abdominal pain in a child is one of the most common presentations with both trivial and life-threatening etiologies, ranging from functional pain to acute appendicitis. Nursing Care Plan For Abdominal Pain . ASSESSMENT Subjective: Nasakit unay ti tiyan ko, lalu nu kalkalpas ko mangan. Chest and abdominal pain; Nursing Diagnosis, Planning, and Implementation 1 . Knowledge Deficit: (diagnosis and treatment) 3. Abdominal pain accompanied by fever, nausea, vomiting, diarrhea, vaginal bleeding or other unusual symptoms may be an emergency and should be addressed by a doctor right away. Vomiting, constipation and presence of mucus in stool are the other accompanying symptoms. Nausea related to various causes The desired result : Patients expressed no nausea and vomiting . June 6, 2019. 1. Nausea: Sensation associated with increased gastrointestinal motility (tachygastria). Inspection and palpation may reveal abdominal distention, tenderness, and guarding. She had a colonoscopy which showed an ileus. Related: How to Get Rid of Constipation: The Best Home Remedies That Really Work. Download Now. Gastritis Nursing Diagnosis 1. I have a 65 year old patient who was admitted to the hospital with Abdominal pain, and vomiting. Pain may be alleviated by antacids. Abdominal complaints may be as simple as an upset tummy in a child who ate too much candy or as complex as a patient who needs emergency surgery to remove part of the intestine that has been starved of oxygen. An abdominal radiograph of a distal obstruction of the small intestine will show a dilated loop. 8. Intervention: Maintain bed rest in a comfortable position, do not support the knee. Nausea related to various causes The desired result : Patients expressed no nausea and vomiting . Risk for Infection. -Fatigue related to reduced metabolism by liver as evidence by patient has diagnosis of hepatitis. Assessment of paediatric abdominal pain can prove a diagnostic challenge. NCP(diarrhea) ncp..gastritis. However, constipation can also be the cause of nausea, abdominal pain, and vomiting. It is important for the novice family nurse practitioner student to take all the appropriate steps to accurately diagnose abdominal pain. Suddenly, abdominal pain, vomiting and fever may indicate the development of acute appendicitis. Nursing Care Plan Fever . Nursing Diagnosis for Acute Abdominal Pain 1. • Small intestine, gall bladder and pancreas. Imbalanced Nutrition: less than body requirements related to impaired absorption of nutrients, hyper-metabolic status 3. Dehydration and abdominal tenderness. Pathophysiology: 3, 4, 5. • Peritoneal cavity. Nursing Diagnosis and Nursing Intervention for Abdominal Pain Nursing Care Plan - Acute Pain Pain related to distention, rigidity Goal: pain is resolved or controlled Criteria for outcome: patients revealed a decrease discomfort; expressed pain at tolerable levels, indicating relaxed. Check out our free nursing diagnosis & care plan for vomiting and diarrhea. The majority of pediatric abdominal complaints are relatively benign (e.g. NCP Ineffective Airway Clearance. Appendicitis – in some rare cases appendicitis may result in pain in the lower abdominal region. Symptoms: Infection can be caused due to high glucose levels, changes in circulation or decrease in functioning of leukocytes. Nursing Diagnosis:-Imbalanced Nutrition: Less than body requirements related to epigastric pain and nausea/vomiting as evidence by patient reports stomach pain, nausea/vomiting, and 48 hour food diary shows caloric deficient. Ensure good hygiene is maintained. Abdominal pain is a fairly common medical problem, and the severity of the issue ranges from a minor annoyance to life-threatening. All women experience an irregular period once in awhile during their child bearing years. NCP-Fluid Volume Deficit. Existing UTI or respiratory infection can also be a risk factor. Interventions : Give anti- emetic . Large-bowel obstruction often has an insidious onset. • Rectum and anus. The differential diagnosis for abdominal pain and vomiting in a pediatric patient can be broad, but here are some key diagnoses to consider in any patient with these symptoms: Gastrointestinal. I am in my first week of clinicals, and I need some extra help. constipation), but it is important to pick up on the […] Parents or guardians may also have difficulty interpreting the complaints of small children. ). Children may be limited in their ability to give an accurate history. You are on page 1 of 5. After the Acute pain nursing diagnosis come the nursing care strategy that the nurse makes according to the instruction of the physicians and the needs of the patient. Chest and abdominal pain; Nursing Diagnosis, Planning, and Implementation 1 . She has COPD, Diabetes and peptic ulcer disease. After the implementation of the care plans program the patient feels better and might show the following signs. Acute pain related to biological agents injury, obstruction / duct spasm, inflammation, ischemic tissue / necrosis 2. Interventions : Give anti- emetic . Epigastric tenderness, acute abdominal perforation. Epigastric pain is felt in the upper abdomen, below the ribcage but above the intestines. It is characterized by pain and tenderness in the lower left part of the abdomen. She had visited the emergency department of another hospital 2 weeks before with the same symptoms and had received conservative treatment. I am a first year RN nursing student. Odor-free environment , clean so it does not cause nausea . Jump to Page . Some women may experience periodic pains during or prior to, or after menstrual periods in the lower abdomen as resulting of over production of certain hormones in the prostaglandins family. Obstruction located lower in the small intestine results in less severe abdominal pain. Assessing abdominal pain through history taking and physical examination Abdominal pain can be a distressing experience for patients and presentations in primary or acute care pose diagnostic challenges to practitioners. Abdominal Pain. Pain is less severe than in small-bowel obstruction, and vomiting is infrequent. We go in depth into the pathophysiology & everything else you need to know. Located outside BBB. Acute abdominal pain accounts for approximately 9% of childhood primary care office visits. Nursing Diagnosis for Dysmenorrhea Dysmenorrhea is defined as a condition of severe uterine pain during menstruation. Acute Abdominal Pain In Children - Amazon Web Services Acute Abdominal Pain in Children • Diagnosis made initially on H & P • Age is key factor…S/S vary with age, • Acute Surgicalabdomen: pain precedes vomiting • Acute Maternal Child Nursing Care (4th ed. Visceral pain is usually due to nociceptors, chemicals, or stretch.Abdominal pain can be due to the following reasons. Constipation NCP. 1,3. 7. Her medical history was unremarkable; in particular, she had no history of endometriosis. Odor-free environment , clean so it does not cause nausea . However, the presence of right upper quadrant pain and a positive Murphy sign make this diagnosis less likely than cholecystitis. Observe for signs of infection or inflammation. On a rating scale of 0 to 10 the patient describes his pain to have improved and reached level 3 from 10. Vomiting is a late feature and may be feculent. Oral care , to reduce emesis and increased comfort . Indigestion and heartburn (acid reflux) If you have burning stomach pain … Symptoms such as nausea, vomiting, pain after eating, pain radiating to the back, and improvement of the pain on leaning forward are common in acute pancreatitis. Learn about the possible causes, including GERD and indigestion. Vomiting: Chemoreceptor trigger zone (area postrema of 4 th ventricle): sensitive to drugs/toxins (emetics, radiation), neurotransmitters. Abdominal pain is a frequent GI complaint and determining the location is a first step in diagnosis. Many of these disorders often have similar symptoms such as abdominal pain, cramping, constipation, nausea, bloating, and fatigue. Nursing Diagnosis for Diabetes. Oral care , to reduce emesis and increased comfort . RIGHT UPPER QUADRANT abdominal pain differential diagnosis: Biliary and hepatic etiologies cause right upper quadrant pain syndromes. Search inside document . Peptic ulcer Epigastric pain can radiate to the back. 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