Skills Practicum

Abdominal Pain Scenario 2Skills Practicum1YouAre working in the ER as a nurse.

Patient23 year old Male arrived at Emergency Room by private vehicleHe states he is having abdominal pain that started early this morning. It is now 1100.

No trauma, nothing like this before, no travel. Nauseated and hot. Ate last night. No previous hx of surgery. No diarrhea. Sudden onset3What do you do?

Initial vitals: Temperature: 38C Respirations: 24 Blood Pressure: 152/95 Pulse: 96 Pulse Oximetry: 95%

4What you see and what he says He is a little pale and anxious No trauma Nothing like this before No travel Nauseated and hot Ate last night. No previous hx of surgery No diarrhea Sudden onset of pain

5Nursing Assessment Temperature: 101C Respirations: 24Blood Pressure: 152/95 Pulse: 96 Pulse Oximetry: 95%Lungs clear bilaterallyHeart sounds S1S2 (lub dub) are regularBowel sounds hypoactive throughoutAbdomen tender all over but more in RLQInvoluntary guarding

6Dr.s Assessment and Tests Lab CBC with differential and chemistry UA strain the urineIV at 100cc/hrPain medication per orders after surgical consultRectal exam tender but no masses or bloodNo evidence of incarcerated hernia or testicular torsion.No kidney stones

7Initial treatments

What do you think is wrong with the patient?AppendicitisFor men need to make sure not Encapsulated herniaTesticular torsionKidney stones9