Melissa RoebuckRasmussen Concept Plan Medications – List medications applicable to Medical Diagnosis. Attach Medication Record Clinical Manifestations Subjective: Severe abdominal pain / cramping in LLQ, antibiotics are ciprofloxacin, cephalexin, metronidazole and doxycycline. anti-spasmodic drugs like dicyclomine, chlordiazepoxide, hyoscyamine, scopolamine, atropine and Phenobarbital. Over-the-counter (OTC) painkiller like paracetamol can be taken to reduce the symptoms. NSAIDs not recommended Abdominal bloating, Nausea / vomiting, Constipation Abdominal tenderness Objective: Fever / chills, Vomiting, Leukocytosis, Guarding of abdomen, Evidence of diverticula on colonoscopy, Possible bloody stools Medical Diagnosis Nursing Diagnosis Risk for infection Goal: Patient will be free from infection and will be compliant with appropriate diet and medication regimen Pain Goal: Patient will be free from pain and will be compliant with appropriate diet and medication regimen Pathophysiology acute diverticulitis : involves small abscesses or infection in one or more of the diverticula, or perforation of the bowel. Patient Data Male, 82 yo, Muslim, severe abdominal pain with right sided tenderness for six hours. He’s apprehensive about surgery Nursing Interventions Monitor vital signs, Provide Bowel Rest: Maintain NPO status during initial phase of antibiotic treatment to kill infection and help bowel rest. Assess abdominal pain Administer medications Provide nutrition education Medical Interventions Diagnostic Data CT:acute diverticulitis intraperitoneal free air WBC 19.8 Neutrophils 95% diet modifications, antibiotics, and possibly surgery. Mild diverticulitis infection may be treated with bed rest, stool softeners, a liquid diet, antibiotics to fight the infection, and possibly antispasmodic drugs. Patient Education Provide nutrition education: Hydrate (2-3 L fluids daily, unless contraindicated for renal or cardiac disease) to avoid constipation. Probiotics – to help regulate the intestinal Temp 101.2 oral bacteria. Avoid foods that trigger flare up (low-fiber foods) Medication education