CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) Bowel Obstruction: Page 10 Dehydration: Page 11 Serum Potassium Level: Page 12 Serum Chloride Level: Page 13 Nasogastric tube to low intermittentsuction: Page 14 DIAGNOSTIC TESTS (REASON FOR TEST AND RESULTS) Abdominal x-ray to rule out bowel obstruction WBC ABG CT with contrast Colonoscopy/Sigmoidoscopy Barium enema Electrolyte panel PATIENT INFORMATION 52 year old male Distended abdomen C/O abdominal pain with N/V “dizzy and weak” Poor skin turgor Dry mucous membranes No urine outputsince yesterday Allergy: Demeral Height: 160cm Weight: 76kg ANTICIPATED PHYSICAL FINDINGS Fever >100*F Abdominal pain Hyperactive bowelsounds Vomiting Diarrhea followed by constipation Absence of flatulence Tachycardia Abdominal distention Poor skin turgor Weakness Dry mucous membranes ANTICIPATED NURSING INTERVENTIONS Nutrition monitoring Frequent positioning 30-45 degrees;semi-fowlers position Respiratory monitoring Splinting when coughing Decompression of gastric via Nasogastric Tube with suction Fluid management and maintenance Wound Care/Incision care if surgery is needed Monitor for hypovolemic shock ECG monitoring Continuous pulse oximetry Abdominal x-ray to check placement of nasogastric tube Administration of fluids via IV Administration of medications per physician order Obtain IV access if not available Prepare patient for surgery if needed