It is now the following day. Kristy has been transferred from theatre recovery to the ward post operatively following a
Posted: Thu Mar 31, 2022 8:01 am
It is now the following day. Kristy has been transferred from
theatre recovery to the ward post operatively following a
3-hoursurgery to repair her fractured pelvis. The recovery nurse
hands over to you that Kristy’s surgery went well. There was a
small amount of blood loss of approximately 400mls
intraoperatively. She received 500mls of fluids intraoperatively
and has been commenced on IV normal saline (NaCl 0.9%) fluids in
recovery, of which the first bag is currently running. She had
fentanyl, propofol and midazolam during the procedure and a dose of
IV fentanyl was also administered in recovery for her pain. Upon
arrival to the ward, you conduct an assessment of Kristy and find
the following: • Kristy is a little drowsy but easy to rouse,she is
orientated to person, however confused to time and place. • Kristy
is moaning that she “feels sick”. • Her vital signs are as follows:
pain score is 7/10; BP 105/74mmHg; PR 95bpm, regular; RR 15bpm;
SpO2 97% on 4L O2 via nasal prongs (NP); T 35.8°C • BGL is
6.5mmol/L. Her lower limb assessment reveals the following:
bilaterally cool feet, slightly pale skin colour, and cap refill to
both feet are 3 seconds. She is able to move both feet and can
slightly bend her knees on the bed. She denies any numbness or pins
and needles to both lower limbs/feet. • Kristy has a honeycomb long
Opsite dressing to her right hip. The dressing is clean, dry and
intact. Kristy is to remain on strict bed rest until the
physiotherapist reviews her tomorrow. Question 4: Identify three
(3) abnormal cues in Kristy’s post-operative nursing assessment.
For each of these cues, discuss the pathophysiological or
pharmacological factors that has resulted in these abnormal
findings. (800 words)
theatre recovery to the ward post operatively following a
3-hoursurgery to repair her fractured pelvis. The recovery nurse
hands over to you that Kristy’s surgery went well. There was a
small amount of blood loss of approximately 400mls
intraoperatively. She received 500mls of fluids intraoperatively
and has been commenced on IV normal saline (NaCl 0.9%) fluids in
recovery, of which the first bag is currently running. She had
fentanyl, propofol and midazolam during the procedure and a dose of
IV fentanyl was also administered in recovery for her pain. Upon
arrival to the ward, you conduct an assessment of Kristy and find
the following: • Kristy is a little drowsy but easy to rouse,she is
orientated to person, however confused to time and place. • Kristy
is moaning that she “feels sick”. • Her vital signs are as follows:
pain score is 7/10; BP 105/74mmHg; PR 95bpm, regular; RR 15bpm;
SpO2 97% on 4L O2 via nasal prongs (NP); T 35.8°C • BGL is
6.5mmol/L. Her lower limb assessment reveals the following:
bilaterally cool feet, slightly pale skin colour, and cap refill to
both feet are 3 seconds. She is able to move both feet and can
slightly bend her knees on the bed. She denies any numbness or pins
and needles to both lower limbs/feet. • Kristy has a honeycomb long
Opsite dressing to her right hip. The dressing is clean, dry and
intact. Kristy is to remain on strict bed rest until the
physiotherapist reviews her tomorrow. Question 4: Identify three
(3) abnormal cues in Kristy’s post-operative nursing assessment.
For each of these cues, discuss the pathophysiological or
pharmacological factors that has resulted in these abnormal
findings. (800 words)