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The document outlines the management of a patient with SMA syndrome leading to small bowel obstruction and anorexia, requiring PEG tube feeding and nutritional supplementation. Actions taken include continued PEG feeding, monitoring of nutritional status, and addressing fluid volume and potential infection risks. Outcomes evaluated show weight stabilization, improved lab markers, and no signs of infection during the treatment process.

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immanuelmukuyuni
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7 views1 page

Concept Map

The document outlines the management of a patient with SMA syndrome leading to small bowel obstruction and anorexia, requiring PEG tube feeding and nutritional supplementation. Actions taken include continued PEG feeding, monitoring of nutritional status, and addressing fluid volume and potential infection risks. Outcomes evaluated show weight stabilization, improved lab markers, and no signs of infection during the treatment process.

Uploaded by

immanuelmukuyuni
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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#2.

Altered Nutrition

 Cues Recognized:
o SMA syndrome causing small bowel obstruction
o Anorexia leading to weight loss
o Currently on PEG tube feeding
o Weight: 48 kg, Height: 160.2 cm
o Lab values: Albumin not provided, but concern for malnutrition
 Actions Taken:
o PEG tube feeding continued
o Vitamin and mineral supplementation (Thera-M, Cholecalciferol)
o Monitor tolerance to enteral feeding and oral intake
 Outcomes Evaluated:
o Weight stabilization and gradual increase
o Improved lab markers of nutrition (e.g., albumin, electrolytes)
o Transition from PEG tube to oral feeding

1° Dx: Small Bowel Obstruction due to Superior Mesenteric Artery


(SMA) Syndrome

 This condition occurs when the third part of the duodenum is


compressed between the aorta and the superior mesenteric artery,
leading to obstruction.
 It is often associated with severe weight loss and malnutrition, as
seen in this patient.

Anorexia

 The patient has significant weight loss and requires PEG tube
feeding, indicating a state of malnutrition.
 This could be due to an underlying eating disorder, chronic illness,
or secondary to SMA syndrome.

#3. Deficient Fluid Volume


#4. Potential Infection
 Cues Recognized:
o Previously NPO with reliance on IV fluids  Cues Recognized:
o Intake: 3345 mL, Output: 1675 mL (Net o Prolonged hospitalization (36 days)
+1670 mL) o PEG tube in place (potential infection risk)
o Lab values: Na+ 141, K+ 5.2 (monitor o Recent imaging shows weighted feeding tube
electrolytes) misplacement
 Actions Taken:  Actions Taken:
o IV fluids (D5-NaCl 0.7% w/ KCl 20 o Monitor signs of infection (temperature, WBC,
mEq/L) wound condition)
o Monitoring of urine output and fluid o Ensure proper PEG tube care
balance
 Outcomes Evaluated:
 Outcomes Evaluated: o No signs of infection
o WBC levels remain stable
 Hydration status remains stable
 Gradual transition to enteral hydration

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