1.

Pain

2. Bowel Elimination
- No flatus present per
pt.
- Verbalized no BM since
3/2
- Hypoactive bowel
sounds present in all 4
quadrants
- Abdomen soft and nondistended

- Laproscopic incisions x4 to LUQ

- Fentanyl PCA 10mcg/hr IV
-Verbalized pain to incision site an 8
- Additional clinical bolus of Fentanyl
PCA
given
-HR-> 108
6. Impaired Skin
Integrity
- Laproscopic incision sites
x4
open to air
Chief Medical Diagnosis:
Laproscopic Gastric Bypass/
Post-op
Priority Assessments:
Pain, Respiratory, GI, I&O,
MobilityWound

3. Altered

Nutrition/Fluid &
Electrolyte Imbalance
- BMI 40
-Na -> 134
- NPO
- Weakness/ Fatigue

5. Depression

4. Immobility
- Lethargy/Fatigue

- Surgery
-Verbalized that she has
feelings of depression
- Antidepressants
prescribed prior to
hospitalization:
-Buproprion
-Sertraline