GASTR

INTESTINAL TUBERCULOSIS

O
Understanding: (Insert lessons to be discussed)

Presented by: Date

GROUP 4 JUNE 10 2024
 1 Patient’s Profile
2 Physical Assessment
TABLE 3 Anatomy and Physiology

OF 4

5
Pathophysiology

Medical Management

CONTE 6 Lab Results

NT 7 Drug Study

8 Nursing Care Plan

INTRODUC
OVERVIEW OF GASTRO INTESTINAL

TION
TUBERCULOSIS

Gastrointestinal tuberculosis is an uncommon form of tuberculosis caused by

Mycobacterium tuberculosis, which typically affects the gastrointestinal (GI) tract.
Tuberculosis is a bacterial infection that usually impacts the lungs and is spread through
respiratory fluids when an infected person coughs, speaks, sings, or sneezes. This
infection can affect any part of the GI tract and cause a variety of symptoms, including
abdominal pain and swelling. Known as "the great mimicker," its symptoms can
resemble those of many other GI diseases.
PATIENT’S
A. General Data B. Admission Profile

PROFILE
Name:

Address:
A.P.

San Pedro, Laguna

Date of Admission:

Time of Admission:
05/23/2024

7:58 am

Gender: Male
Date of History Taking: —-----------------------

Age: 41 years old

Chief Complaint: Abdominal Pain
Date of Birth: October/27/1982
Admission Diagnosis: Generalized Peritonitis secondary and ruptured appendicitis
Nationality: Filipino
Final Diagnosis: Gastrointestinal Tuberculosis
Religion: Roman Catholic
Other/Additional Diagnosis: Exploratory Laparotomy omental biopsy
Occupation: Company driver
Admitting Physician: Nona Nicole Tupong, MD
Status: Married
PATIENT’S
C. History of Present Illness
PROFILE
1 day PTC, vomiting 2x, abdominal pain, effectful food w/ associated fluke meals.

FH PTC, abdominal pain from epigastric area to RLQ then eventually quantized 10/10
radiate to bulk, resistance cush consult @ER.

D. Past Medical History

Based on the interview, the patient has no past medical history, no allergies and no
current medication.
PATIENT’S
E. Heredo-Familial illness

PROFILE
During the interview, the presenters asked the patient if the patient family had a history of illnesses or
allergies. He said that his brother has gallstones disease, his mother has hypertension and his father also
has hypertension and stroke.

F. Personal/Social History

Patient A.P. was born on October 27, 1982, in San Pedro, Laguna. He has a wife and three children living
together under one roof. He is a company driver. He said that he drinks and smokes occasionally. The
patient stated that he has no history of respiratory disorders or other related illnesses.
 PHYSICAL
ASSESSMENT
General Appearance
FOCUS

Awake, Alert, NICRD

FINDINGS

Mental Status Oriented to 3 Spheres

+Pinkish
Skin
-Jaundice

+AS PPC
HEENT
-NAD

Chest/Lungs SCE CBS

 PHYSICAL
ASSESSMENT
Heart
FOCUS

AP NRRR
FINDINGS

Abdomen Soft Tender & Rebound

Rectum/Genitalia Intact

+FEP
Extremities
-Cyanosis
PHYSICAL
ASSESSMENT
PHYSICAL
ASSESSMENT
PHYSICAL
ASSESSMENT
ANATOMY
AND
PHYSIOLOGY
OF THE OVERVIEW OF THE DIGESTIVE
STRUCTURE AND FUNCTION

DIGESTIVE
The digestive system, also known as the gastrointestinal (GI) tract, is a complex system
responsible for the breakdown, absorption, and assimilation of nutrients from food, as
well as the elimination of waste products. It comprises a series of organs that work

SYSTEM
together to facilitate these processes. It is responsible for the breakdown and absorption
of nutrients, water, and electrolytes while also serving as a vital barrier against pathogens.
Gastrointestinal tuberculosis (GI TB) occurs when Mycobacterium tuberculosis infects
the digestive tract, and its impact on digestive system physiology can be profound.
ANATOMY AND PHYSIOLOGY
OF THE DIGESTIVE SYSTEM
MOUTH
Digestion begins in the mouth, where food is
ingested, chewed, and mixed with saliva.
Saliva contains enzymes, such as amylase,
which start the breakdown of carbohydrates.
ESOPHAGUS
After swallowing, food travels down the
esophagus, a muscular tube that connects the
mouth to the stomach, through a process
called peristalsis.
ANATOMY AND PHYSIOLOGY
OF THE DIGESTIVE SYSTEM
STOMACH
The stomach secretes gastric juices containing
enzymes and hydrochloric acid, which break
down proteins and kill bacteria. This creates an
acidic environment. Muscular contractions mix
food with gastric juices, forming chyme, a semi-
liquid mixture.
SMALL INTESTINES
Digestion continues in the small intestine with
the help of enzymes from the pancreas and bile
from the liver. Nutrient absorption primarily
occurs here, facilitated by villi and microvilli,
tiny finger-like projections that increase
surface area.
ANATOMY AND PHYSIOLOGY
OF THE DIGESTIVE SYSTEM
LARGE INTESTINE
The large intestine absorbs water and
electrolytes from the remaining chyme,
forming feces. It also houses beneficial
bacteria that help ferment undigested
carbohydrates, producing gases and some
vitamins.
ANATOMY AND PHYSIOLOGY OF
THE
LYMPHATIC SYSTEM

LYMPHATIC SYSTEM
The lymphatic system is integral to immune
function. Lymph nodes, lymphatic vessels, and
lymphatic organs help filter and circulate lymph
fluid, which carries white blood cells and other
immune cells to fight infections and remove
toxins.
ATHOPHYSIOLOGY
MEDICAL
MANAGE
MENT
DRUG STUDY
LABORATORY RESULTS
NURSING CARE PLAN
for GASTRO INTESTINAL TUBERCULOSIS
 Assessment
Subjective Data:
• Patient verbalize that he
experiences vomiting and
abdominal pain
• Patient verbalize that the
pain begins in the
epigastric area and moved
to the right lower
quadrant, it will radiate to
his back and will eventually
spread throughout the
abdomen
Objective Data:
• Pain scale 10/10 as
• (+) soft, tender, round and
rebounded abdomen
• Pale looking
VS:
PR: 104
RR: 23
Diagnosis
• Acute pain related to
inflammation evidence by
patient reporting localized
abdominal pain with the
presence of vomiting
Planning Implementation
• Perform comprehensive
• Patient will rate pain scale
assessment of pain
lower that the initial rate at
• Administer prescribed pain
a level that is acceptable
medications
• Patient will manifest vital
• Encourage and teach the
sign within normal limit
patient to use
• Patient uses
nonpharmacological relief
pharmacological and
methods
nonpharmacological pain-
• Monitor Vital sign and pain
relief strategies
level
Evaluation
• After the provided
interventions patient will
be able to properly
describe where, when and
how the pain his feeling
• Patient’s vital sign will be
within normal
• Patient will be able to
demonstrate the correct
and effective non
pharmacological
techniques will lessen the
pain
• Patient will verbalize pain
level below 3
Assessment Diagnosis Planning Implementation Evaluation

• Monitor Vital signs and

observe signs of infection
• After following the
• Maintain strict aseptic
• Risk for Infection: related to provided intervention
technique
surgery and • To prevent infection and to there is no signs of
Objective Data: • Promote proper hand
immunocompromised promote healing of the infection which helps in
• S/P Exlap hygiene
state evidence by surgical surgical site the complete and timely
• Administer prescribed
incision healing of the patient’s
medications
surgical wound
• Provide health teaching
and adequate information
NURSING MANAGEMEN
for GASTRO INTESTINAL TUBERCULOSIS
 PREOPERATIVE NURSING MANAGEMENT
• Obtain a detailed medical history, including allergies, current medications, previous surgeries, and any
chronic conditions.
• Conduct a thorough physical examination to assess the patient's overall health status.
• Ensure all preoperative tests are completed and reviewed.
• Explain the surgical procedure, including risks and benefits, to the patient and family.
• Provide instructions on fasting, medication adjustments, and bowel preparation if needed.
• Review and manage medications, including stopping or adjusting anticoagulants and other drugs as
needed.
• Ensure appropriate skin preparation, including bathing and hair removal if necessary.
• Verify that informed consent is obtained and documented.
 INTRAOPERATIVE NURSING MANAGEMENT
1. Patient Safety:
• Verify patient identity and surgical site with the surgical team.
• Position the patient safely and comfortably to prevent pressure injuries.
• Maintain a sterile environment to prevent infections.

2. Monitoring:
• Continuously monitor vital signs, including heart rate, blood pressure, oxygen saturation, and temperature.
• Monitor fluid balance, including input and output of fluids, to maintain hemodynamic stability.
• Assist the anesthesiologist in monitoring the patient's response to anesthesia.

3. Documentation:
• Accurately document all intraoperative events, medications administered, and any complications.
• Properly label and handle any specimens collected during the surgery.
 POSTOPERATIVE NURSING MANAGEMENT
1. Immediate Postoperative Care:
• Transfer the patient to the Post-Anesthesia Care Unit (PACU) for close monitoring.
• Frequently monitor vital signs and compare them to baseline values.Assess pain levels and administer
prescribed pain medications.
• Ensure the patient's airway is clear and monitor for signs of respiratory distress.

2. Ongoing Postoperative Care:

• Conduct regular assessments, including monitoring for signs of infection, bleeding, and thrombosis.
• Inspect the surgical site for proper healing and provide wound care as needed.
• Encourage early mobilization to prevent complications such as deep vein thrombosis and pulmonary
embolism.
 POSTOPERATIVE NURSING MANAGEMENT
3. Patient Education and Discharge Planning:
• Provide detailed instructions on wound care, medication management, and activity restrictions.
• Schedule follow-up appointments and ensure the patient understands the importance of attending them.
• Educate the patient and family on signs of potential complications and when to seek medical help.

4. Documentation:
• Document all assessments, interventions, patient responses, and any changes in condition.
• Prepare a comprehensive discharge summary, including details of the surgery, postoperative course, and
discharge instructions.
THANK
SO MUCH
YOU
Presented by: Date
GROUP 4 10 JUNE 2024