Management Plan- Gastrointestinal issues

Management Plan- Gastrointestinal issues

Treatment Plan

Given the patient’s symptoms and the differentials considered, the primary concern is appendicitis. Immediate surgical consultation is warranted due to the severity and progression of symptoms, including rebound tenderness and right lower quadrant tenderness. The patient should be prepared for an appendectomy, which involves the surgical removal of the inflamed appendix. Timely appendectomy is often the preferred intervention for appendicitis to prevent complications such as perforation and peritonitis (Di Saverio et al., 2020).

Diagnostic Tests and Expected Results

CBC (Complete Blood Count)

Elevated white blood cell count (WBC) is commonly observed in appendicitis due to the body’s response to infection (Di Saverio et al., 2020).

CT scan

Imaging studies, mainly CT scans, can confirm the diagnosis of appendicitis by visualizing the inflamed appendix and surrounding structures. It helps assess the severity of inflammation and rule out other differential diagnoses (Di Saverio et al., 2020).

Medications and Nonpharmacologic Treatments

Preoperative Antibiotics

The administration of broad-spectrum antibiotics, such as ceftriaxone and metronidazole, is recommended to reduce the risk of postoperative complications (Di Saverio et al., 2020).

Pain Management

Nonsteroidal anti-inflammatory drugs (NSAIDs) or opioids may be prescribed to alleviate abdominal pain before and after surgery (Di Saverio et al., 2020).

NPO (Nil per os)

The patient should be kept NPO (nothing by mouth) to prevent exacerbation of symptoms and reduce the risk of aspiration during surgery (Di Saverio et al., 2020).

Suggested Consults/Referrals

General Surgeon

Immediate referral to a general surgeon for evaluation and consideration of appendectomy is important.

Anesthesiologist

Consultation with an anesthesiologist for preoperative assessment and anesthesia planning will be needed (Moris et al., 2021).

Client Education

Appendicitis Awareness

Educate the patient on the signs and symptoms of appendicitis, emphasizing the importance of seeking prompt medical attention.

Explanation of the Surgical Procedure

The patient should be informed about the appendectomy procedure, its benefits, and potential risks (Moris et al., 2021).

Preoperative Instructions

Instructions regarding fasting, medication management, and arrival time for surgery should be provided.

Postoperative Care

Education on postoperative pain management, activity restrictions, wound care, and signs of complications should be emphasized (Moris et al., 2021).

Follow-up

The patient should have a scheduled follow-up appointment with the surgeon for postoperative evaluation and wound assessment. According to Moris et al., (2021), any concerns or new symptoms should be promptly reported for appropriate management.

References

Di Saverio, S., Podda, M., De Simone, B., Ceresoli, M., Augustin, G., Gori, A., … & Catena, F. (2020). Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines. World journal of emergency surgery, 15, 1-42.

Moris, D., Paulson, E. K., & Pappas, T. N. (2021). Diagnosis and management of acute appendicitis in adults: a review. Jama, 326(22), 2299-2311. 10.1001/

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Include the Following Sections:

Application of Course Knowledge: Complete a management plan for the client that you created for the Week 6 Part 1 discussion. Include the following:
treatment plan based on one of the three differentials discussed in Part 1
appropriate diagnostic tests and expected results
medications and nonpharmacologic treatments
suggested consults/referrals

Management Plan- Gastrointestinal issues

client education
follow-up
Integration of Evidence: Integrate relevant scholarly sources as defined by program expectations to an external site.:
Cite a scholarly source in the initial post.
Cite a scholarly source in one faculty response post.
Cite a scholarly source in one peer post.
Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.
Engagement in Meaningful Dialogue: Engage peers and faculty by asking questions, and offering new insights, applications, perspectives, information, or implications for practice.
Peer Response: Respond to at least one peer. Substantive posts contribute new, novel perspectives to the discussion using original dialogue (not quotes from sources).
Faculty Response: Respond to all questions posed directly to the student.
Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice.
Professionalism in Communication: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.
Reference Citation: Use current APA format to format citations and references and is free of errors.