SOLVED638

The cause of Joe’s abdominal pain appeared to be the result of acute cholecystitis. Acute cholecystitis would explain his extreme upper right quadrant pain and the presence of some slide in the gallbladder seen on the ultrasound. Along with this, Joe is also experiencing acute kidney injury. Gallbladder sludge is a material that cannot be absorbed by bile in the gallbladder which leads to it accumulating in the gallbladder (John Hopkins Medicine, 2020). There could be several reasons for Joe’s heart rate and blood pressure to continually increase. The first reason that should be of concern to the healthcare providers is that it is a result of his extreme pain and pain that hasn’t subsided even with IV morphine. The stress of being in this situation and efforts to decrease his pain not working can lead to further elevation. Joe’s health history can also in part explain these findings. Joe has a history of hypertension and is obese which may explain higher than normal blood pressure and heart rate vital signs. In this scenario one could expect client complaints of his examination, blood work, and ultrasound taking 7 hours while being in severe pain. After this, his CT scan was
SCIENCE
HEALTH SCIENCE
NURSING

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