Final answer:
A perforated duodenal ulcer requires immediate medical attention and may involve stabilizing the patient, performing a physical examination, ordering diagnostic tests, prescribing appropriate medical interventions, and providing follow-up care.
Step-by-step explanation:
A perforated duodenal ulcer is a serious medical condition that requires immediate medical attention. The first step in managing this condition is to stabilize the patient. This may involve administering intravenous fluids, pain medication, and monitoring vital signs.
The next step is to perform a physical examination to assess the patient's condition. This may include checking for signs of peritonitis, such as abdominal tenderness and guarding.
Initial orders may include ordering diagnostic tests, such as blood tests and imaging studies, to confirm the diagnosis and evaluate the severity of the perforation. These tests may include a complete blood count, liver function tests, and a CT scan or an endoscopy.
The next step is to order appropriate medical interventions based on the results of the diagnostic tests. This may include prescribing antibiotics to treat any bacterial infection and medications to reduce stomach acid and promote healing. In severe cases, surgery may be required to repair the perforation.
Final orders may involve follow-up care, such as medication management, wound care, and regular monitoring of the patient's symptoms and progress.