Question

Formulate a care plan for patient who is diagnosed with small bowel obstruction and on Total Parenteral Nutrition (TPN).

*Please include Nursing Care Plan : Assessment(Subjective,Objective), Nsg Diagnosis, Goal/Plan, Intervention, Rationale, Evaluation)

Answer 1

Subjective data in small bowel obstruction.

• Nausea
• Vomiting
• Pain

Objective data.

• Abdominal guarding
• Vomiting
• Bloating
• Abdominal dissension.

Nursing diagnosis

Fluid volume deficit related to vomiting.

Acute pain related to Abdominal distension .

Imbalanced nutrition less than body requirement related to vomitting.

Nursing interventions

• Keep the patient nothing by mouth.
• Put NG tube for aspiration.
• Administer analgesics for patient comfort.
• Administer iv fluids.
• Administer TPN as needed.
• Monitor intake output
• Calculate required calorie of the patient.
• Administer TPN via pumb to avoid rapid hyperglycemia.

Outcome.

Normal vital signs.

Pain received.

Patient verbalized less discomfort.

Client achieve adequte nutritional level.