PREDISPOSING FACTORS:

Age, Male
formation of a polyp or carcinoma now spreads to-
abnormal overgrowth wards the muscle layer, then
of cells n the mucosal adenoma on the mu- mutation leading to
cosal layer through the colon wall into
layer of the colon carcinoma
the serosa and through out
PRECIPITATING FAC- the lymph nodes
TORS: High-fat, high-
protein (high intake of
beef), low fiber diet S/S: blood tinged stool,
metastasis occurs through the blood and lymphatics affecting the:
weight loss
UTZ of WA: Multiple hepatic nod-
ules and masses as described,
likely metastatic CHEST AP-THE: Massive
pleural effusion, right under-
lying atelectasis, Minimal
pleural effusion, left, Pneu-
Flat plate of abdomen: Oste- moperitoneum, HEMOTHO-
olytic changes, location as RAX

ABG Values:
EMERGENCY
METABOLIC
CHEMICAL LABORATORY RESULTS: S/S: dyspnea, tachyp- CHEST TUBE
Creatinine: 1.56 mg/dL ACIDOSIS
UTZ of WA: Huge colorectal nea INSERTION
Albumin: 34,90 d/L
mass with marked rectal wall
thickening
Risk for injury related to
biochemical dysfunction Ineffective breathing Impaired skin in-
Risk for fluid volume deficit re- secondary to metabolic pattern related to de- tegrity related to
lated to acidosis creased lung expan- surgical incision
COLON CANCER STAGE IV
sion secondary to chest
tube insertion

S/S: bloated, abdominal rigidity,

Acute pain related to weakness, decreased oral intake Patient is ordered by Altered nutrition: less than body
the Doctor to be on
perirectal excoriation NPO requirements related tp

Doenges, M., Moorhouse, M.F., & Murr, A. (2010). Nursing care plans:
Guidelines for individualizing client care across the life span. Philadelphia,PA:F.A.Davis Company.

Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2013). Nursing diagnosis manual: planning, individualizing, and documenting client care. Fourth edition. Philadelphia: F.A. Davis Co.

Hinkle, J. L. (2014). Brunner & Suddarth's textbook of medical-surgical nursing (Edition13.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.