Hemicoloctomy Assignment
Practicum:Care Of Adults
Student’s Name
LAMAR UNIVERSITY COLLEGE
OF ARTS AND SCIENCES
JOANNE GAY DISHMAN SCHOOL OF NURSING
NURSING 3221– Practicum Care of Adults
PRECONFERENCE TOOL
Date
Gender F Age 69 Diet full liquid, progress to soft as tolerated Allergies Penicillins
(reaction:hives)
Does patient have an advanced directive or medical durable power of attorney?
YES: NO: ☒
Code Status full code
Date of admission 1/17/2023
Admitting medical diagnosis bowel perforation
Concurrent diagnoses _HTN, cataracts
Activity/limitations out of bed ambulating with ABD binder 4 times daily
Surgery this admission (Date; POD#) _1/16/2024, POD#1
Infection Control Precautions: none
Medical devices:
Foley removed 01/16/2024 Oxygen/delivery method 2L NC
Type of Suction none listed
Type of Drain(s) none listed Other
Treatments or procedures: Why indicated for this patient?
Sequential compression devices to BLE to prevent clots from forming due to immobility.
Incentive spirometer to strengthen the lungs and prevent pneumonia
Primary IV fluids: D5 ½ NS Infusion
rate: 80 mL/hour
IV type & site: right forearm peripheral IV
, NURSING 3221– Practicum Care of Adults PRECONFERENCE
TOOL
DIAGNOSTIC STUDIES (Include most recent lab results & other pertinent labs)
Name of Result Result Reason ordered for THIS patient Significance
Range + or t + or t of results for THIS patient
Laboratory test Date: Date:
sodium 135-145 140 Patient underwent surgery, electrolytes are
essential to the healing process
potassium 3.5-4.5 3.6 Patient is taking hydrochlorothiazide which can
lower potassium levels.
chloride 100-106 104 Acid base balance is sometimes disrupted in the
post op
phase. This test combined with other elctrolytes
can indicate how the acid base balance is
bicarbonate 24-30 21 The amount od CO2 in the patients blood may
indicate if she needs oxygen or not
The results are slightly low, meaning the patient
may be in metabolic acidosis
BUN 8-25 32 BUN is important in post op patient to ensure the
kidneys are removing the wastes as they should.
This patient’s levels are high meaning the kidneys
may not
be functioning properly
creatinine 0.6-1.3 1.1 Acute kidney injury is a complication seen during
the post-op phase. Its important to monitor kidney
tests for
our patient
glucose 80-110 142 In stressful situations the blood glucose levels may
elevate. We need this test to determine if the
patient’s glucose is critically high
Anion Gap
Total Protein
Albumin
Calcium
Phosphate
Bili (total)
Alkaline
Phosphatase
SGOT/AST
SGPT/ALT
Downloaded by mary daniel ()
Practicum:Care Of Adults
Student’s Name
LAMAR UNIVERSITY COLLEGE
OF ARTS AND SCIENCES
JOANNE GAY DISHMAN SCHOOL OF NURSING
NURSING 3221– Practicum Care of Adults
PRECONFERENCE TOOL
Date
Gender F Age 69 Diet full liquid, progress to soft as tolerated Allergies Penicillins
(reaction:hives)
Does patient have an advanced directive or medical durable power of attorney?
YES: NO: ☒
Code Status full code
Date of admission 1/17/2023
Admitting medical diagnosis bowel perforation
Concurrent diagnoses _HTN, cataracts
Activity/limitations out of bed ambulating with ABD binder 4 times daily
Surgery this admission (Date; POD#) _1/16/2024, POD#1
Infection Control Precautions: none
Medical devices:
Foley removed 01/16/2024 Oxygen/delivery method 2L NC
Type of Suction none listed
Type of Drain(s) none listed Other
Treatments or procedures: Why indicated for this patient?
Sequential compression devices to BLE to prevent clots from forming due to immobility.
Incentive spirometer to strengthen the lungs and prevent pneumonia
Primary IV fluids: D5 ½ NS Infusion
rate: 80 mL/hour
IV type & site: right forearm peripheral IV
, NURSING 3221– Practicum Care of Adults PRECONFERENCE
TOOL
DIAGNOSTIC STUDIES (Include most recent lab results & other pertinent labs)
Name of Result Result Reason ordered for THIS patient Significance
Range + or t + or t of results for THIS patient
Laboratory test Date: Date:
sodium 135-145 140 Patient underwent surgery, electrolytes are
essential to the healing process
potassium 3.5-4.5 3.6 Patient is taking hydrochlorothiazide which can
lower potassium levels.
chloride 100-106 104 Acid base balance is sometimes disrupted in the
post op
phase. This test combined with other elctrolytes
can indicate how the acid base balance is
bicarbonate 24-30 21 The amount od CO2 in the patients blood may
indicate if she needs oxygen or not
The results are slightly low, meaning the patient
may be in metabolic acidosis
BUN 8-25 32 BUN is important in post op patient to ensure the
kidneys are removing the wastes as they should.
This patient’s levels are high meaning the kidneys
may not
be functioning properly
creatinine 0.6-1.3 1.1 Acute kidney injury is a complication seen during
the post-op phase. Its important to monitor kidney
tests for
our patient
glucose 80-110 142 In stressful situations the blood glucose levels may
elevate. We need this test to determine if the
patient’s glucose is critically high
Anion Gap
Total Protein
Albumin
Calcium
Phosphate
Bili (total)
Alkaline
Phosphatase
SGOT/AST
SGPT/ALT
Downloaded by mary daniel ()
