*NURSING > Summary > NR 511 Midterm study guide Differential Diagnosis & Primary Care Practicum (Chamberlain University) (All)

NR 511 Midterm study guide Differential Diagnosis & Primary Care Practicum (Chamberlain University)

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Appendicitis Risk: age 10-30; men twice as likely as women; diet low in fiber, high in fat and high in refined sugars and other carbs Subjective: acute onset of mild to severe colicky, epigas ... tric, or periumbilical pain; nausea/vomiting; fever Objective: looks ill; diffuse tenderness with palpation of abdomen – tenderness over RLQ Tests: CBC - mild to moderate leukocytosis; urinalysis – microscopic hematuria or pyuria; x- ray – fecalith, gas-filled appendix, small bowel ileus, deviation in bowel gas pattern, or loss of right iliopsoas shadow; US – to visualize inflamed appendix 1st line: IV antibiotics, correcting fluid and electrolyte imbalances, bedrest, NPO, NG tube if indicated 2nd line: surgery [Show More]

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