Pain, Abdominal Flashcards
Acute
<6months
Injury or trauma
Chronic
6 months or longwe
Hard to treat
Visceral pain
Internal organs
Crampy
Somatic
Musculoskeletal system
Tissue/bone/joint pain
Refeered
Pain originates at different site other than where it started
Observable behaviors
Bp elevates
Tachycardia and tachypnea
Diaphoresis
Shallow breathing
Restlessness
Facial grimacing
Guarding
Pallow
Pupil dilation
Reassessing and documenting pain
Use specific protocol per facility for measuring medication and intervention efficacy (JCAHO standards)
Nurses are legally accountable
-assessment
-treatment
-reassessment
Bruits
Turbulent blood flow through vessel: obstruction or restriction of blood vessels
Abdominal vasculture
Descending aorta
Right and left iliac artery (where it biforcates)
Order of assessment
Inspection, aucultation, palpation
Inspection: contour and symmetry
contour: flat, scaphoid, rounded, protuberant
bowel sounds
normal: 5-30 gugles a min or one sound every 5-15 secs
abnormal:
borborygmus:hyperactive
absent
bruits
venous hum
friction rub of liver or spleen
percussion
tympany over most abdomen
dullness over liver
light vs deep palpation
light: 1-2 cm in circular motion
deep: bimanual technique
check specific organs
blumberg
rebound tenderness
push in and release pressure
