Case Study of Mr. Oliver Thompson - Nursing Assignment Help

Assignment Task:

Case study 

Mr Oliver Thompson, born in 1960, was admitted to your ward with a confirmed ruptured appendix pre-operatively. An emergency open appendicectomy surgical operation was undertaken. You accepted the care of Mr Thompson at 1400 hours from the recovery room. Mr Thompson arrived with an intravenous cannula (IVC) in-situ, on his right cubital fossa (CF), which is connected to Intravenous (IV) Normal Saline, running at a rate of 120mls/hour. He is currently nil by mouth (NBM). Mr Thompson complained of a pain score of 7/10. His incisional sites are slightly soaked with blood.

Mr Thompson is a known asthmatic, which is well controlled. He is allergic to morphine, as evidenced by a severe rash. Observations demonstrate that he is afebrile with a temperature of 35.8 degrees, he is slightly tachycardiac, Pulse -101 beats per minute (bpm); Mr Thompsons’ blood pressure (BP) is-124/82mmHg; and his respiratory rate ( RR) is 19 breaths per minute (bpm). 

You noticed that his IV fluid is finished, and you are in the process of commencing a new 500mls of normal saline IV fluid, as prescribed. 

Using the case study above, write your essay from the perspective of a registered nurse (RN) explain your nursing care for Mr Thompson immediately post-operatively to the end of your shift at 2100 hours.

1. Consider what nursing assessments you as a RN will undertake for a patient immediately post operatively; give rationales for your actions.  

2. Consider what nursing assessments you as a RN will undertake for a patient on IV therapy; give rationales for your actions.  

3. As your shift is ending, hand over your patient to the night duty nurse using the ISOBAR framework. ISOBAR handover will not exceed 300 words.

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