Malnutrition

A 46 year old African American woman was admitted 6/24/08 to the ICU at LBJ infirmary with a primary diagnosis of acute pancreatitis. She had come to the ER with sub over delinquentd abdominal pain that was increased in the remaining fastness quadrant, ascites, weakness and anorexia. She too was having nausea, vomiting, and diarrhea for two weeks. Her stools were decrepit with a yellow, mucous appearance. Past medical history includes: Pancreatitis, round lupus erythematous, GERD, asthma, and bipolar dis value. Past surgeries include: Two previous caesarean sections, appendectomy, whipple cognitive process with partial hepatectomy (2006), gastric bypass mathematical operation (1999). Social report: Smokes 6 cigarettes a day, chronic alcoholic drink use, and cocaine. She is currently backup with her husband. A diagnostic paracentesis was performed on 6/25/08 as bacterial peritonitis was suspected. affected role became hypotensive and went into shock. She was admitted to MICU at that time. Respiratory function declined and an endotracheal tube was inserted and lymph secretory organ was placed on a ventilator. An exploratory laparotomy was performed on 6/26/08. The intestine was edematous and a small gut enterocutaneous fistula was discovered. at that place was a pancreatic abscess with humiliation in the surrounding interweave. few cirrhosis of the liver was also noted. Nine enterotomies were repaired and necrotic tissue was debrided. Cultures were positive for vancomycin patient of enterococci strain. Contact precautions are being maintained.

The abdomi nal incision is left over(p) open with two ! drains committed to a wound vac course serosanguineous fluid. Packed RBC?s, hot frozen plasma, and platelets were administered. Peritoneal lavage is performed both 48 hours for debridement. This patient is at nutritional risk due to many factors. First the client has a history of chronic alcohol abuse which is the most common cause of cirrhosis and pancreatitis (Lewis, 2007). The chronic vomiting, diarrhea, and anorexia depleted fluids and electrolytes and nourishment. as well as due to... If you want to get a full essay, order it on our website: BestEssayCheap.com

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