Morphine Sulfate Case Study
1. What do you think the diagnosis is for this patient and why? o I think the diagnosis is a urinary tract infection because the patient has urinary frequency and nocturia, with a low fever. Sometimes when patients have a fever, it can increase their pulse and respirations (LeMone, 2015, P.751).
2. What other assessment questions would you ask her if you suspect that she has a bladder infection? What additional assessment data would you want to know? How is this disorder diagnosed? o Other assessment questions I would ask her if I suspected that she has a bladder infection is more about her health history. I would want to know if she has burning while urinating, color, clarity, and odor of urine, lower abdominal pain, back or flank pain. If the patient is experiencing vomiting or nausea, and duration of symptoms and treatment that has been attempted. I would also want to know if the patient has any tenderness to …show more content…
What medication is best to relieve this patient's pain and why? What other assessment data (objective/subjective) would you expect to find? What test(s) are done to help provide a definitive diagnosis?
o Well to begin with, I would want to ask the patient to rate his/her pain. For an acute episode, the best medication to treat with is analgesia. Morphine sulfate is given to relieve pain and reduce ureteral spasm (LeMone, 2015, P.758). o Other assessment data I would expect to find is complaints of flank, back, or abdominal pain. Radiation, characteristics and timing, aggravating or relieving factors. Has the patient had any nausea and vomiting, possible contributing factors such as dehydration? Is there a previous history of kidney stones? What current or previous treatments have the resident done. I would want to know the general appearance including position, vital signs, skin color, temperature, moisture, turgor, abdominal or costovertebral tenderness. I would also want to know the amount, color, and characteristics of the urine (LeMone, 2015,
2. What other assessment questions would you ask her if you suspect that she has a bladder infection? What additional assessment data would you want to know? How is this disorder diagnosed? o Other assessment questions I would ask her if I suspected that she has a bladder infection is more about her health history. I would want to know if she has burning while urinating, color, clarity, and odor of urine, lower abdominal pain, back or flank pain. If the patient is experiencing vomiting or nausea, and duration of symptoms and treatment that has been attempted. I would also want to know if the patient has any tenderness to …show more content…
What medication is best to relieve this patient's pain and why? What other assessment data (objective/subjective) would you expect to find? What test(s) are done to help provide a definitive diagnosis?
o Well to begin with, I would want to ask the patient to rate his/her pain. For an acute episode, the best medication to treat with is analgesia. Morphine sulfate is given to relieve pain and reduce ureteral spasm (LeMone, 2015, P.758). o Other assessment data I would expect to find is complaints of flank, back, or abdominal pain. Radiation, characteristics and timing, aggravating or relieving factors. Has the patient had any nausea and vomiting, possible contributing factors such as dehydration? Is there a previous history of kidney stones? What current or previous treatments have the resident done. I would want to know the general appearance including position, vital signs, skin color, temperature, moisture, turgor, abdominal or costovertebral tenderness. I would also want to know the amount, color, and characteristics of the urine (LeMone, 2015,