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(solved) GI – Patient THAO postoperative patient experiencing hypotension due to fluid volume deficit. $13.99   Add to cart

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(solved) GI – Patient THAO postoperative patient experiencing hypotension due to fluid volume deficit.

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GI – Patient THAO postoperative patient experiencing hypotension due to fluid volume deficit. Overview Lou Thao is a 43-year-old Vietnamese American male who has just been transferred from the postanesthesia care unit (PACU) to the medical-surgical unit for recovery following laparoscopic sigmoid...

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  • August 3, 2024
  • 19
  • 2024/2025
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Prose1
GI b– bPatient bTHAO



postoperative bpatient bexperiencing bhypotension bdue bto bfluid bvolume bdeficit.




Overview

Lou bThao bis ba b43-year-old bVietnamese bAmerican bmale bwho bhas bjust bbeen btransferred bfrom bthe

postanesthesia bcare bunit b(PACU) bto bthe bmedical-surgical bunit bfor brecovery bfollowing blaparoscopic
b



sigmoid b colon b resection. b The b scenario b takes b place b on b Tuesday b at b 1930, b at b which b time b Lou b is
b



hypotensive b and b tachycardic. b During b this bscenario, b students b will b have b the b opportunity b to b assess
b



b and bmanage bcare bfor ba bpostoperative bpatient bexperiencing bhypotension bdue bto bfluid bvolume bdeficit.




Your bgoals bas bnurse bcare bgiver:

• Conduct ba bfocused bpostoperative bassessment

• Provide bindividualized bteaching

• Notify bprovider bof bpatient bstatus bchange busing bSBAR

• Recognize b abnormal b findings:


• Prioritize band bimplement bappropriate binterventions:

▪ Initiating b1000 bmL bnormal bsaline bIV bfluid bbolus bper b order


• Recognize band bpromptly btreating bphysiologic bchanges

• Follow bthe b6 brights bof bmedication badministration

• Evaluate b patient's b responses b to b interventions

• Evaluate b effectiveness b of b communication b and b teaching

• Access bpatient bdata, bincluding bprior bcare

• Document bcare bin bthe belectronic bhealth brecord b(Use bWord bto bcreate bnursing

b documentation bas byou bgo bthrough bscenario)




Location: b Inpatient, b Medical-Surgical b Unit

,Patient bname: bLou bThao

b Medical brecord b #:

b 7349185 bDate bof bbirth:

b April b17

Age: b43

Sex: bMale

Admitting b provider: bRobert bPreston,

b MD bScenario bstart bday: bDay b1,

b Tuesday bScenario bstart btime: b1930

Chief bcomplaint bupon badmission: bDiverticulitis

Primary bdiagnosis: bDiverticulosis bwith bchronic bdiverticulitis

Secondary bdiagnosis: bHypothyroidism




Patient: bLou bThao

, Lou bThao bis ba b43-year-old bVietnamese bAmerican bmale bwho bhas bjust bbeen btransferred bfrom bthe

postanesthesia bcare bunit b(PACU) bto bthe bmedical-surgical bunit bfor brecovery bfollowing blaparoscopic
b



sigmoid bcolon bresection. bThe bscenario b takes bplace bon bTuesday b at b1930. bDuring bthe bscenario, bLou bis
b



experiencing bfluid bvolume bdeficit band bhas blow bblood bpressure band ban bincreased bheart brate. bHe bis
b



dizzy, bthirsty, b and bgroggy. b He b feels b scared b and b vulnerable. b He bexplains bhis b symptoms bvery b clearly
b



b but bhas b no bidea b what b is b going bon. bHis bwife bMay b is b at bthe b bedside band bis b supportive. bShe bvoices

b concern b regarding bLou's bcondition.



Patient bresponse bguide: bExplain beach bof bthese bdevelopments, bwhy bthey bhave boccurred, band

b necessary bmanagement.




General • Please bcall bme bLou.

• My bbirth bdate bis bApril b17.

• I bdon't bhave bany ballergies.

During binitial Lou bis bexperiencing bfluid bvolume bdeficit. bHe bis balso bbeginning

bassessment bto bexperience bpostoperative bpain, b but bhis bprimary bcomplaints

bare brelated bto bfluid bdeficit. bUntil bfluids bare bgiven, bLou bshould

bexpress bworsening bdizziness, bthirst, band bweakness.

• I bam bdizzy band bfeel blike bI bcould bpass bout.

bThebroom bis bspinning baround.

• I bfeel bgroggy.

• I bam bvery bthirsty.

• I bdon't bfeel bright.

• Oh! bI bam bso bdizzy.



Lou's b pain b increases b throughout b the b scenario.

• The bpain bis babout b6 bon ba b10-point bscale

bandbconstant.

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