1. What signs and symptoms are of concern in this patient's presentation? 2. What could these be telling you is happening to the patient? 3. Of the concerning symptoms, which of these is a priority? Please explain your answer. 4. What can we do to stabilize this patient? Why?
A 48 year old patient is post-op 24 hours from a traditional hysterectomy with left salpingo-oophorectomy. The client had a history of uterine fibroids and an enlarged left ovary. Traditional approach was chosen over laparoscopy because of the client's history of obesity, and DM type 2. She was recovered in the PACU and transferred to the surgical unit. The nurse taking care of her had these findings:
- Temp - 99.7 oral, P102, iR18, BP 92/50 supine, SPO2 95% on room air
- Pain 9/10 to incision site
- Noted abdominal surgical dressing, intact, with serosanguinous drainage.
- moderate abdominal distension
- bowel sounds audible in all 4quadrants
- Patient with reports of nausea, nut no vomiting.
Questions:
1. What signs and symptoms are of concern in this patient's presentation?
2. What could these be telling you is happening to the patient?
3. Of the concerning symptoms, which of these is a priority? Please explain your answer.
4. What can we do to stabilize this patient? Why?
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