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Case Study: Colorectal Cancer page 1132 Patient Profile L.C., a 58-year-old Native American man, is from a Pueblo tribe in northern New Mexico. L.C.’s wife and family drove 50 miles to take him to the Indian Health Service hospital because of his deteriorating health (see the case study in Chapter 43). Subjective Data • See the case study in Chapter 43. • Currently rates pain as a 7 on a scale of 0-10 • States he is not passing flatus Objective Data Physical Assessment • 5 ft 9 in tall, weight 132 lb • BP 140/72, Heart rate 90, RR 20, temperature 99.4°F (37.4°C), O2 saturation 97% on room air • Wound site and staples are intact, dry, without bleeding or signs of infection • Abdomen slightly distended with hypoactive bowel sounds • Lungs clear to auscultation, slightly diminished in posterior bases Laboratory Tests • CT scan and colonoscopy show 2 medium-sized tumors in the transverse colon • Hgb of 8.8 g/dL, Hct of 24%. Interprofessional Care Surgical Procedure • Had a transverse hemicolectomy with lymph node biopsies • Pathology results: Adenocarcinoma, has invaded the muscle wall of the colon, 2 of 5 lymph nodes are positive for cancer Postoperative
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