Nurse : Good afternoon, Ma’am,,,my name is Yunita. I’m the nurse on duty and I am the nurse today.

Px : Good Afternoon, Nurse,,I’m Ana,,,

Nurse : May I have your full name and date of birth?

Px : Sure, my complete name is Nurhasana. Please call me Ana. My date of birth is 7 July 1976

Nurse : Thank you bu. How are you feeling now?

Px : I don’t feel good actually. My abdoment is really aching and I'm so nauseous.

Nurse : I’m sorry to hear that. Where do you feel painful?

Px : Right here (pointing to the lower left abdominal area), it is like being twisted,

Nurse : Okay, Excuse me, I'll check your stomach for a moment. (Nurse performs abdominal palpation
and percussion). From scale 1 to 10, how many degrees of pain do you feel?

Px : It is 6. My stomach is like twisting.

Nurse : OK, your stomach looks distended, I'll listen to your bowel movements first (the nurse
performs auscultation). Your bowel sounds also decrease. Have you got any other symptoms?

Px : Yes, since this morning I have vomited 2 times

Nurse : Do you know what causes your stomach feel painful?

Px : Last night I got my friend massage my stomach, after that it was getting more and more
painful.

Nurse : Alright, Ma'am, now I will explain a little about the results of the CT scan with IV contrast that
you had earlier. The result is a possible small bowel obstruction so the doctor advises you to be
hospitalized and admitted for bowel rest. So, from now on you are required to fast.

Px : Okay, nurse. I will do your instruction.

Nurse : Now I will explain the action plan that will be carried out here. First, we will monitor your
telemetry report every hour. If your oxygen saturation is below 92% we will install an oxygen
tube. Second, we will closely monitor your fluid intake and output. So next you will be installed
infusion and DC to facilitate the measurement of the fluid. Do you agree?

Px : Yes, I do.

Nurse : If you do, please sign here in the inform consent. Is your family here with you?

Px : My family has not come yet. Someone from Panti took me here.

Nurse : Oh that is fine. I just need your family’s signature in the inform concent as your guide.

Px : Yes, miss.
Nurse : Next I will explain about drugs to relieve the pain and reduce your vomiting. There is
hydrocodone 325mg, taken every 6 hours to reduce your stomach pain and Ondansentron 4mg
injection to reduce vomiting.

Px : Is it okay if I take medicine since I have to fast?

Nurse : It's okay, Mom, just use a little water to take the medicine. If after taking the medicine you
vomit again, I would recommend going to the doctor for an injection of painkillers.

Px : Yes, mam.

Nurse : My assistant will take vital sign measurements, is that OK?

Px : Yes, please,,

Nursing Assistant (NPO) take vital sign measurements and submit the result to the nurse

Nurse : Mam, this is the result of measuring vital signs BP 118/68, HR 103, RR 16, SpO2 96%. Everthing
is still in normal condition. Don’t worry too much mam, we work together to get healing. Is
there anything else you want to ask, mam?

Px : Alhamdulillah, that's enough, nurse.

Nurse : Alright ,mam. I will prepare tools for infusion and catheter insertion. You have to be on bed
rest, so don't get out of bed okay mam? But if you need help, please ring this bell and I'll be
right there for you.

Px : okay nurse,

Nurse : Thank You, mam. I will be right back