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    Jesse Saygo
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    The client presents with abdominal pain rated 8/10, vomiting, diarrhea, and high blood pressure. Based on the symptoms and vital signs, the highest priority problems are abdominal pain likely due to gastroesophageal reflux disease, hypertension, and risk for fluid volume deficit due to vomiting and diarrhea. Other issues of medium priority include tachycardia and tachypnea which could be due to anxiety. The abdominal pain is expected to be ongoing and fluctuating with GERD but not progressively worsening.

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    The client presents with abdominal pain rated 8/10, vomiting, diarrhea, and high blood pressure. Based on the symptoms and vital signs, the highest priority problems are abdominal pain likely due to gastroesophageal reflux disease, hypertension, and risk for fluid volume deficit due to vomiting and diarrhea. Other issues of medium priority include tachycardia and tachypnea which could be due to anxiety. The abdominal pain is expected to be ongoing and fluctuating with GERD but not progressively worsening.

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    7 views3 pages

    Untitled

    Uploaded by

    Jesse Saygo
    The client presents with abdominal pain rated 8/10, vomiting, diarrhea, and high blood pressure. Based on the symptoms and vital signs, the highest priority problems are abdominal pain likely due to gastroesophageal reflux disease, hypertension, and risk for fluid volume deficit due to vomiting and diarrhea. Other issues of medium priority include tachycardia and tachypnea which could be due to anxiety. The abdominal pain is expected to be ongoing and fluctuating with GERD but not progressively worsening.

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    of 3

    Among the nursing diagnosis you have identified, which of these problem are: (Jesse)

    High priority/ Life threatening / ABC’s of Life

    Medium priority/ Health threatening

    Low priority/ Problems with developmental needs/ And those with not much needing nursing assistance

    Client:

    Stomach ache

    Right upper quadrant Epigastric

    Mahapdi, sobrang sakit

    VS:

    BP: 140/90mmHg – High blood pressure, Hypertension

    RR: 22cpm

    PR: 115 bpm

    02 sat- 98% Normal

    Pain scale: 8/10

    Kape at pandesal, after 30 mins sumakit yung sikmura ang nagsusuka

    Hindi naman kumalat ang sakit sa sikmura

    Sumusuka and nagdudumi

    Ngayong araw, 3 beses na sumusuka

    Tubig sinuka pangalawa at pangatlong beses

    Content ng dumi: itim 1, pangalawa tubig,

    Hindi Nawala yung sakit nung sumuka.

    Nurse:

    Stretcher
    Diagnosis Explanation
    Abdominal pain Gastroesophageal reflux disease Long-term acid reflux can harm
    the esophagus and increase the
    Acute pain rlt increase gastric risk of Barrett's esophagus, a
    acid condition that acts as an early
    warning sign for esophageal
    AEB > verbalization of pain level cancer. About 3% to 10% of
    by patient at 8/10 older men with Barrett's have
    an increased risk of developing
    esophageal cancer, however
    this risk is barely four in every
    1,000 cases (Kormos, 2017).

    Hypertension High blood pressure

    2. Risk for fluid volume deficit Diarrhea T


    AEB vomiting and passing of
    watery stool The client’s pulse rate is 115
    bpm which could indicate that
    he might be nervous or anxious.
    Your heart may send impulses
    Alteration in confront rlt pain more frequently for a brief
    AEB by, pt. verbalization, facial period of time when you've had
    grimace Tachycardia a scare, are extremely agitated
    or anxious, or are exercising.
    Sinus tachycardia is what is
    causing this, and it goes away
    when you relax or sleep
    (Cleveland Clinic, n.d.).

    Tachypnea does not necessarily


    have a pathological cause
    however other medical issues
    such as anxiety states can also
    cause tachypnea (Park & Kattar,
    Tachypnea 2022).

    Low priority Abdominal pain The client’s abdominal pain is


    caused by GERD and Mild to
    severe abdominal may be
    present, coming and going but
    not necessarily getting worse
    with time.
    References:

    https://my.clevelandclinic.org/health/diseases/22108-tachycardia

    https://www.health.harvard.edu/digestive-health/when-does-long-term-acid-reflux-become-a-serious-
    issue

    https://www.ncbi.nlm.nih.gov/books/NBK541062/

    https://www.who.int/health-topics/hypertension

    https://www.mayoclinic.org/diseases-conditions/diarrhea/symptoms-causes/syc-20352241

    Diarrhea - Symptoms and causes. (2021, August 18). Mayo Clinic. https://www.mayoclinic.org/diseases-
    conditions/diarrhea/symptoms-causes/syc-20352241

    Hypertension. (2019, June 20). WHO | World Health Organization.


    https://www.who.int/health-topics/hypertension#tab=tab_1

    When does long-term acid reflux become a serious issue? (2017, June 1). Harvard Health.
    https://www.health.harvard.edu/digestive-health/when-does-long-term-acid-reflux-become-a-serious-
    issue

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