Highlights
Context
Acute surgical admissions are a common practice for most hospitals and therefore, nurses. The ability of a Registered Nurse to understand the pathophysiology and manifestations of morecommon illnesses allows for greater advocacy for patients; and enables the nurse to better evaluate the interventions in place.Completion of this assessment will test your knowledge relating to the pathophysiology, clinical manifestations, investigations and treatments of a common acute surgical admission. The assessment will further determine your ability to interpret and apply this knowledge to the holistic nursing care of a patient with this illness.
Case Study – Janet
Read the below case study then complete your response.
Janet is a 48-year old; she has a BMI of 42 and is a single mother of two. She has been admitted to the ward from the emergency department (ED) with a preliminary diagnosis of Cholecystitis after increasing abdominal pain and nausea. Janet’s observations on arrival are T=36.7, P=88, BP=104/74, RR=10, SaO2=98% on 2L/min Oxygen via nasal cannula. She has a resting pain score of 2/10 which increases to 5/10 on movement after analgesia. She has been given IV Paracetamol, IV Morphine and IV Normal Saline. She has been admitted to the ward awaiting further investigation and review by the general surgery consultant. Janet has been admitted to a shared room on the surgical ward with another patient. Her morphine was administered 45 minutes ago with some effect on her pain, the surgical registrar is going to consent her for surgery when she arrives on the ward in 10 minutes.
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