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69 Male Full Code English/Caucasian NPO NKA (Small Bowel Obstruction,…
69
Male
Full Code
English/Caucasian
NPO
NKA
Small Bowel Obstruction
Imaging:
X ray
CT
Ultrasound
Air or barium enema
Labs:
CBC
Serum chemistry panel
Coagulation profile
Lactic acid
Liver function tests
Lipase
Urianlysis
Interventions:
NG tube
NDX:
Constipation r/t decreased motility, intestinal obstruction
Imbalanced nutrition: less than body requirements r/t nausea, vomiting
Acute pain r/t pressure from distended abdomen
Medications:
Laxatives
Analgesics
Opioids
Diabetes Mellitus
Labs:
Glucose
Medications:
Novolog
Interventions:
BG check Q6H
NDX:
Risk for unstable blood glucose level
Risk for dysfunctional gastrointestinal motility secondary to complication of DM
Risk for impaired skin integrity
Essential Tremors
Imaging:
Neuroimaging
MR
CT
Labs:
Electrolytes
Thyroid function
BUN
Creatinine
Liver function
Medications:
Propanolol
Primidone
NDX:
Risk for falls
Risk for injury
Lichen Simplex Chronicus
Labs:
Elevated IG
Fungal culture
Skin biopsy
Medications:
Topical steroids
Steroid injections
Moisturizers
Tricyclic antidepressants
Antihistamines
Imaging:
CT
MRI
X ray
Electrophysiological nerve conduction studies
NDX:
Impaired skin integrity