Malnutrition

A 46 year old African American woman was admitted 6/24/08 to the ICU at LBJ hospital with a primary diagnosis of acute pancreatitis. She had come to the ER with sub repayabled abdominal pain that was increased in the left hand(p) fastness quadrant, ascites, weakness and anorexia. She as well was having nausea, vomiting, and diarrhea for two weeks. Her stools were wet with a yellow, mucous appearance. Past medical history includes: Pancreatitis, disclike lupus erythematous, GERD, asthma, and bipolar dis value. Past surgeries include: Two previous caesarean delivery sections, appendectomy, whipple cognitive process with partial hepatectomy (2006), gastric bypass surgical procedure (1999). Social report: Smokes 6 cigarettes a day, chronic intoxicant use, and cocaine. She is currently backup with her husband. A diagnostic paracentesis was performed on 6/25/08 as bacterial peritonitis was suspected. diligent became hypotensive and went into shock. She was admi tted to MICU at that time. Respiratory function declined and an endotracheal tube was inserted and lymph secretor 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 chagrin 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 yucky enterococci strain. Contact precautions are being maintained.

The abdominal incision is left open wit h two drains committed to a wound vac weari! ng serosanguineous fluid. Packed RBC?s, hot frozen plasma, and platelets were administered. Peritoneal lavage is performed any 48 hours for debridement. This patient is at nutritional risk cod 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: OrderCustomPaper.com

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