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TAEM10: Acute Abdomen - Nurse

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อาจารย์สุจิตราภรณ์ ทับครอง

Health & Medicine
1 of 18
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
The four abdominal regions
The nine abdominal regions
[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]
Nurse’s role ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ทรงพระเจริญ ,[object Object],[object Object]

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ACTEP2014: What's new in endocrine emergencyACTEP2014: What's new in endocrine emergency
ACTEP2014: What's new in endocrine emergency
 
ACTEP2014: What is simulation
ACTEP2014: What is simulationACTEP2014: What is simulation
ACTEP2014: What is simulation
 
ACTEP2014: Upcoming trend of lung ultrasound
ACTEP2014: Upcoming trend of lung ultrasoundACTEP2014: Upcoming trend of lung ultrasound
ACTEP2014: Upcoming trend of lung ultrasound
 
ACTEP2014: The routine to research R2R concept your way out of a research dea...
ACTEP2014: The routine to research R2R concept your way out of a research dea...ACTEP2014: The routine to research R2R concept your way out of a research dea...
ACTEP2014: The routine to research R2R concept your way out of a research dea...
 
ACTEP2014: Therapeutic hypothermia for ACTEP 2014
ACTEP2014: Therapeutic hypothermia for ACTEP 2014ACTEP2014: Therapeutic hypothermia for ACTEP 2014
ACTEP2014: Therapeutic hypothermia for ACTEP 2014
 
ACTEP2014: Sepsis marker in clinical use
ACTEP2014: Sepsis marker in clinical useACTEP2014: Sepsis marker in clinical use
ACTEP2014: Sepsis marker in clinical use
 
ACTEP2014: Symp Experience in STEMI & NSTEMI & UA ACS cases in ED Ramathibodi...
ACTEP2014: Symp Experience in STEMI & NSTEMI & UA ACS cases in ED Ramathibodi...ACTEP2014: Symp Experience in STEMI & NSTEMI & UA ACS cases in ED Ramathibodi...
ACTEP2014: Symp Experience in STEMI & NSTEMI & UA ACS cases in ED Ramathibodi...
 
ACTEP2014: Sepsis management has anything change
ACTEP2014: Sepsis management has anything change ACTEP2014: Sepsis management has anything change
ACTEP2014: Sepsis management has anything change
 
ACTEP2014: Patient safety & risk management
ACTEP2014: Patient safety & risk managementACTEP2014: Patient safety & risk management
ACTEP2014: Patient safety & risk management
 
ACTEP2014: How to set up guideline for MCI
ACTEP2014: How to set up guideline for MCIACTEP2014: How to set up guideline for MCI
ACTEP2014: How to set up guideline for MCI
 
ACTEP2014: How to maximise resuscitation in trauma 2014
ACTEP2014: How to maximise resuscitation in trauma 2014ACTEP2014: How to maximise resuscitation in trauma 2014
ACTEP2014: How to maximise resuscitation in trauma 2014
 
ACTEP2014: Hot zone
ACTEP2014: Hot zoneACTEP2014: Hot zone
ACTEP2014: Hot zone
 
ACTEP2014: Hemodynamic US in critical care
ACTEP2014: Hemodynamic US in critical careACTEP2014: Hemodynamic US in critical care
ACTEP2014: Hemodynamic US in critical care
 
ACTEP2014: Fast track
ACTEP2014: Fast trackACTEP2014: Fast track
ACTEP2014: Fast track
 
ACTEP2014 ED director
ACTEP2014 ED directorACTEP2014 ED director
ACTEP2014 ED director
 
ACTEP2014: ED design
ACTEP2014: ED designACTEP2014: ED design
ACTEP2014: ED design
 
ACTEP2014: ED accreditation HA JCI TQA
ACTEP2014: ED accreditation HA JCI TQAACTEP2014: ED accreditation HA JCI TQA
ACTEP2014: ED accreditation HA JCI TQA
 

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TAEM10: Acute Abdomen - Nurse

  • 1. The acute abdomen SUJITRAPORN THABKRONG R.N.,M.N.S. RACHADA-THAPRA MEDICAL CENTER
  • 2.
  • 3.
  • 4.
  • 5.
  • 6. 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
  • 7.
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  • 13.
  • 14. Fast Assessment Action Data Nsg. Evaluation Nsg. Assessment Nsg. Care Plan Fast Treatment Evaluation Nsg. Intervention Nsg. Diagnosis
  • 15.
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  • 17.
  • 18.