TEST NORMAL VALUES RESULTS NURSING SIGNIFICANCE

Occult blood negative negative

TEST NORMAL VALUES RESULTS NURSING SIGNIFICANCE

sodium 135- 148 mmol/L 142.4 mmol/L
potassium 3.5-5.3 mmol/L 3.92 mmol/L

TEST NORMAL VALUES RESULTS NURSING SIGNIFICANCE

Prothrombin time 10.0 - 14.00 secs 12.30 secs
activity > or = to 70% 113.30 %
INR < or = 1.20 0.92

TEST NORMAL VALUES RESULTS NURSING SIGNIFICANCE

BUN 6.1 - 20.1 11.9 mg/dl
Creatinine 0.7-1.3 1.20 mg/dl
Elevations may be due
to a toxic intermediate
SGPT (ALT) 0.0-45 H 87 U/L of drug metabolism ,
elevations may be due
to gastric ulcer
penetrating into the
liver

LIPID PROFILE
Cholesterol 120.0-200.0 177.3 mg/dl
Triglycerides 0-200 H 259.3 mg/dl indicate patient's
nutrition is not good
HDL- cholesterol >= 35 L 30.2 mg/dl indicate patient's
nutrtion is not good
indicate patient's
nutrItion is not good
VLDL-cholesterol 0-50 H 51.9 mg/dl ,high levels may
eventually build up
within the walls of the
blood vessels and
narrow the
passageways
LDL- cholesterol 0-150 95.2 mg/dl

SGOT (AST) 0.0-35 H 80 U/L Elevations may indicate

liver damage
Fasting blood sugar 65-110 101 MG/DL
 NURSING CARE PLAN # 2

Imbalanced nutrition less than body requirements related to gastrointestinal bleeding

NURSING INTERVENTIONS RATIONALE

Independent: a. client may often overestimate the amount of
a. obtain a nutritional history food eaten. the client may not eat sufficient
calories or essential nutrients as a way to reduce
pain episodes with peptic ulcer disease.

b.assess for body weight changes b.weight loss is an indication od inadequate

nutrional intake.

c.assist the client with identifying foods that cause
gastric irritation
c.clients need to learn what foods they can
tolerate without gastric pain. Soft, bland, non
acidic foods cause less gastric irritation. Foods that
may contribute to mucosal irritation include spicy
foods, pepper,and raw fruits and vegetables.

d.instruct the importance from abstaininng from d. alcohol causes irritation and increase gastric
alcohol pain.

e.encouraged the client to limit the intake of e. caffeine stimulates the secretion of gastric
caffeinated beverages such as tea and coffee acid. Coffee, even if decaffeinated. contains a
peptide that stimulates the release of gastrin and
increases acid production

Collaborative:
a.modification of diet a.have the dietitian review the diet