TAEM10: Acute Abdomen - Nurse

The acute abdomen SUJITRAPORN THABKRONG R.N.,M.N.S. RACHADA-THAPRA MEDICAL CENTER

Acute abdomen ,[object Object],[object Object],[object Object],[object Object]

- Fast assessment - Fast treatment ,[object Object]

Knowledge ,[object Object],[object Object],[object Object],[object Object]

Definition ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pain : Generation & Perception Visceral afferents & spinal somatic afferents enter spinal cord at same level Direct irritation to the peritoneal lining - Stretching - Distension - Torsion - Contraction Cause Vague & well localized Specific / Localized Midline / Generalized Location Dull / Sharp Sharp Dull ache Nociception Referred Parietal Visceral

Importance of Anatomy & Physiology in Assessment LLQ Pain - Diverticulitis - Intestinal Obstruction - Appendicitis - Leaking Aneurysm - Abdominal Wall Aneurysm - Ectopic Pregnancy - Mittelschmerz - Ovarian Cyst - Ovarian Torsion - Salpingitis - Endometriosis - Ureteral Calculi - Renal Pain - Seminal Vesiculitis - Psoas Abscess RLQ Pain - Appendicitis - Intestinal Obstruction - Regional Enteritis - Diverticulitis - Cholecystitis - Perforated Ulcer - Leaking Aneurysm - Abdominal Wall Hematoma - Ectopic Pregnancy - Ovarian Cyst - Ovarian Torsion - Salpingitis - Mittelschmerz - Endometriosis - Ureteral Calculi - Renal Pain - Seminal Vesiculitis - Psoas Abscess LUQ Pain - Gastritis - Pancreatitis - Splenic Enlargement - Splenic Rupture - Splenic Infarction - Splenic Aneurysm - Renal Pain - Herpes Zoster - Myocardial Ischemia - Pneumonia - Empyema ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Diffuse Pain - Peritonitis - Pancreatitis - Leukemia - Sickle Cell Crisis - Early Appendicitis - Mesenteric Adenitis - Mesenteric Thrombosis - Gastroenteritis - Aneurysm - Colitis - Intestinal Obstruction - Metabolic Cause - Toxic Overdose - Bacterial Infection

[object Object],[object Object],[object Object],[object Object],[object Object],“ PQRST ” MNEMONIC

Special Populations : Pediatrics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Special Populations : Obesity ,[object Object],[object Object],[object Object],[object Object],[object Object]

Special Populations : Geriatrics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Fast Assessment Action Data Nsg. Evaluation Nsg. Assessment Nsg. Care Plan Fast Treatment Evaluation Nsg. Intervention Nsg. Diagnosis

Nurse’s role ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ทรงพระเจริญ ,[object Object],[object Object]

TAEM10: Acute Abdomen - Nurse

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TAEM10: Acute Abdomen - Nurse