Question

your post op patient has nausea, hypoactive bowel sounds, and repeated vomiting of dark brown emesis despite repeated antiemetics. what order do you anticipate from the providor

Answer 1

For a post-operative patient with nausea, hypoactive bowel sounds, and vomiting dark brown emesis, the provider is likely to order diagnostic tests like an abdominal X-ray, CT scan, or endoscopy, place a nasogastric tube for decompression, and start IV fluid therapy. Surgical intervention might be necessary if an obstruction is confirmed.

Step-by-step explanation:

If a post-operative patient is experiencing nausea, hypoactive bowel sounds, and repeated vomiting of dark brown emesis despite the use of antiemetics, these symptoms may suggest an upper gastrointestinal obstruction or ileus. Considering these symptoms, I anticipate that the provider may order further diagnostic tests to confirm the diagnosis, such as an abdominal X-ray, CT scan, or an endoscopy. Additionally, the provider might order the placement of a nasogastric tube (NG tube) for decompression and to prevent aspiration. Intravenous fluid therapy to correct any electrolyte imbalances and maintain hydration may also be necessary. In more severe cases, or if an obstruction is confirmed, surgical intervention may be required. Therefore, the provider's orders will likely be directed towards symptom management, diagnosis confirmation, and initiation of the appropriate treatment.

Answer 2

In this case, based on the patient's symptoms of nausea, hypoactive bowel sounds, and repeated vomiting of dark brown emesis despite repeated antiemetics, the provider may order further tests and interventions to determine the underlying cause.

Step-by-step explanation:

In this case, based on the patient's symptoms of nausea, hypoactive bowel sounds, and repeated vomiting of dark brown emesis despite repeated antiemetics, the provider may order further tests and interventions to determine the underlying cause. Some possible orders that the provider may consider include:

1. An abdominal X-ray or MRI to assess for any structural abnormalities or blockages in the gastrointestinal tract.
2. Blood tests to check for any abnormalities in liver or pancreatic function.
3. A nasogastric tube insertion to decompress the stomach and relieve nausea.