What are your nursing priorities going to be (postoperative interventions) and what lab values will you focus on and why?
Topic: Med Surge
Order Description
Med-Surg II Final Case Study Assignment
Mr. Jones a 68 yo male with a PMHx significant for COPD, IDDM, HTN, and CH.F. He was admitted on 412105 through the ER with c/o abdominal discomfort. A CT scan revealed a large small bowel obstruction(SBO) r/t a tumor.
His home medications included: Metoprolol, Lisinopril, Glucophage, and Atrovent inhaler. You receive him from the PACU after his Exploratory Lap colon resection.
PACU report: AOx3, VS RR 28, HR 86 in A-Fib, BP 110170, T 97.5 02 sat 94% on 3LNC. Lungs: clear, diminished at the bases.
GI: No bowel sounds
GU: Has a foley to gravity at bedside.
EBL in OR was 500CC. Patient has 2 JP drains yielding small amounts of bloody drainage.
Has an NGT to LCWS yielding green drainage.
Pain currently 2110. Has a Fentanyl/Bupivacaine epidural lwith a basal of 6ml/hr, pt dose of 2ml QlOmin with a l hour limit of 18mlper hour.
IV of D51/2NS + 20KCL@ 125ml/hr, 18# RAC.
H/H: pre-op 13.2/ 38, post-op 11.3/ 30.2.
1. What are the key assessment parameters for this patient?
2. What are your nursing priorities going to be (postoperative interventions) and what lab values will you focus on and why?
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