https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse en-us 2021-07-22 05:04:47 UTC 2021-07-23 15:12:23 UTC hello@padlet.com mariellereyes999 https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1657979230 - 50 kg, 14 year old 
- Pt. admitted with sudden onset of pain to periumbilical region (constant and migrating to RLQ) 
- Mom reports pt. having pain to abdomen in following days up to admission, dad called ambulance due to persisting pain, and I.S felt nauseated in ambulance 
~ similar episode 2 years ago and thought to be the stomach flu 
- Presented at admission with elevated WBC and ultrasound findings of acute uncomplicated appendicitis 
- (07/18) - prepped for OR for laparoscopic appendectomy ]]> 2021-07-22 05:12:27 UTC https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1657979230 mariellereyes999 https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658011354 - facial grimacing upon movement, holding onto abdomen upon movement and touching lapsites at rest, muscle guarding, moaning upon movement ]]> 2021-07-22 05:50:57 UTC https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658011354 mariellereyes999 https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658013507 - reports no BM since before admission (2 days), I.S reports passing flatus
- Ate 50% of breakfast, observed to drink 1 cup of water with breakfast
- Bowel sounds hypoactive in all 4 quadrants, abd. slightly distended and tender
- mucous membranes are pink, smooth, and moist, pt. reports they are tolerating food and drink well with no nausea 
- NPO pre-op]]> 2021-07-22 05:53:55 UTC https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658013507 mariellereyes999 https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658019672 - Cap refill less than 2 seconds 
- HR at 97 BPM 

]]> 2021-07-22 06:01:38 UTC https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658019672 mariellereyes999 https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658023498 - RR at 24 BPM
- clear chest and adequate airway entry 

]]> 2021-07-22 06:06:45 UTC https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658023498 mariellereyes999 https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658029385 - 3 lap sites to abdomen (dry and intact): suprapubic incision dressing noted to have a moderate amount of sanguineous drainage, umbilical incision dressing noted to have no drainage, and right transverse incision dressing noted to have a scant amount of sanguineous drainage ]]> 2021-07-22 06:13:50 UTC https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658029385 mariellereyes999 https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658103649 - LOC: A&O x 3, reports being fatigued after ambulation
- motor and activity function: staggering gait needing 1PA with ambulation, uses wide base of feet to balance, and hunched posture
- holding onto mom and ambulating around unit ]]> 2021-07-22 07:47:50 UTC https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658103649 mariellereyes999 https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658107559 WBC - 13 
Neutrophils - 8.9]]> 2021-07-22 07:53:57 UTC https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658107559 mariellereyes999 https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658110864 - PQRST & painscale - pain localized at abdomen, rated 8/10 at rest and 9/10 at movement, describes pain as stabbing and sharp, worse when mobilizing, and better when resting in SF position in bed. 
Pain also noted in shoulders bilaterally, rating it as 7-8/10, describing it as a sore and aching pain, worse when moving, and better when resting in bed with pillows/rolled blankets supporting them. ]]> 2021-07-22 07:59:04 UTC https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658110864 mariellereyes999 https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658116797 - D5 1/2 NS @ 90 mL/hr, SL prior to discharge ]]> 2021-07-22 08:08:20 UTC https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658116797 mariellereyes999 https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658118323 - Tylenol 500 mg PO q4h PRN
- Advil 200 mg PO q6h PRN
- Morphine 5-10 mg PO q4h PRN

]]> 2021-07-22 08:10:52 UTC https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658118323 mariellereyes999 https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658123706 Dimenhydrinate 50 mg q6h PRN]]> 2021-07-22 08:18:49 UTC https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658123706 mariellereyes999 https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658126769 Ceftriaxone 700 mg IV 
Metronidazole 500 mg IV]]> 2021-07-22 08:23:28 UTC https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658126769 mariellereyes999 https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658134392 - Mom reports hx of constipation

]]> 2021-07-22 08:33:05 UTC https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658134392 mariellereyes999 https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658136746 - Mom and dad separated (mom at bedside, dad is working), mom has I.S on weekdays and dad has him on weekends, along with his 2 younger brothers
- Grandparents on mom's side care for him and his 2 younger siblings occasionally (grandpa came to pick him and mom up at discharge) ]]> 2021-07-22 08:35:50 UTC https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658136746 mariellereyes999 https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658143316 - Mom advocates strongly for I.S's comfort and anxiety being in hospital, asks for ways she can help with his pain and asks a lot of questions at discharge r/t his prescription to take home, bathing instructions, and asks for the appropriate numbers/dates/times for follow up and who to contact for emergencies 
- I.S asks about procedure, how long recovery will take, and ways to mitigate his pain - participating in health decisions and curious about recovery 
- Mom and dad work collaboratively to care for their children, on good speaking terms and mom states they are great at coparenting I.S and his younger siblings, seemingly communication among parents and grandparents is cohesive so I.S has a great support system in place

]]> 2021-07-22 08:44:54 UTC https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658143316 mariellereyes999 https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658143414 - Grandparents provide support and care for I.S and siblings a occasionally throughout the month
- I.S plays soccer and baseball outside of school on the weekends, where his dad accompanies him]]> 2021-07-22 08:45:05 UTC https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658143414 mariellereyes999 https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658161810 - Tramacet 
- Senokot]]> 2021-07-22 09:16:27 UTC https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658161810 mariellereyes999 https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658607010 - decreased ROM in shoulders bilaterally]]> 2021-07-22 19:46:32 UTC https://padlet.com/mariellereyes999/ysqfgxlzjqehcdse/wish/1658607010