John Higgins Case Study - Nursing Assignment Help

Assignment Task

John Higgins, 78, Is Day 1 post-operative for a partial colectomy and formation of a coif, bowel cancer. He required preoperative chemotherapy and has a peripheral 20 gaugeLnrcormum-rn-his right cubital fossa. He underwent preoperative bowel preparation to remove all faecal content from his bowel prior to the operation. He returned to the ward at 1900 hours. He is to remain nil orally until the return of bowel sounds. He has a Patient Controlled Analgesia system (PCAS) of Morphine being administered via an IV cannula it his R) cubital fossa. He has intravenous therapy (IVT) at 42 ml/hr. He has oxygen therapy being administered via a Hudson Mask with humidification at a flow rate of 6 litres per minute. He has an in dwelling urinary catheter (IDC) insitu requiring hourly urine measurements. He has an abdominal wound that was closed with staples and Is covered with an occlusive non-transparent absorptive dressing that is dry and Intact. There is a bellovac drain insitu that has drained 50 ml since return to ward. He has a drainage bag over the stoma site with nil drainage present. Your initial assessment includes the following: 10 mg of IV Morphine via the PCAS since returning to ward (RTW), Tympanic Temperature: 35.8 ° C, Shallow Breaths, Pulse: 103 beats/min, Blood Pressure: 95/60 mm/Hg, Awake and able to follow commands, Talking in short sentences, Oxygen Saturation (Sp02) 95% on 6 litres of Oxygen via Ht.dson Mask, Pain score (verbal analogue scale): 2/10, Respiratory Rate: 22 breaths/min.

Please number and answer the following FOUR questions in the text box below. You only have 40 lines of text to include your answers.

1. Mr Higgins is hypovolaemic. Provide TWO factors from the information provided in the scenario that are contributing to his hypovolaemia.

2 Provide a physiological explanation in relation to his recorded 1. blood pressure, 2. pulse and 3. peripheral temperature assessment findings for Mr Higgins.
 

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