Determining the pre operative care

Reference no: EM132469405

Pre operative Care

Veronica Mattel is a 57 y. o. female. She is divorced and her ex-husband is a real estate developer in Malibu, CA. Veronica has been evaluated for significant uterine bleeding and is scheduled for an abdominal hysterectomy. She lives alone in a townhouse in Woodbury, but her daughters both live within the Twin Cities area. She has recently retired as a flight attendant and moved from California to be closer to her daughters. Up to this point, Veronica has been quite healthy except for prehypertension and treatment for atrial fibrillation 5 years ago. Her only previous surgery was an appendectomy in her late 30s. Besides her two daughters, she also had a daughter who died of cancer two years ago.

She has been taking St. John's Wort for some mild depression and melatonin to help her sleep. Up until the bleeding became a problem, she had been taking one low dose aspirin daily. She is on a diuretic/ACE inhibitor for her hypertension.

VS: BP: 140/90; P: 88; R: 16; T: 98.4; 5'9"; 122 #; Allergic to nickel, kiwi, contrast dye, and Zoloft.

Other preoperative labs:

Hgb: 11.1 g/dL;

Na: 125 mEq/L;

K: 3.2 mEq/L

BUN: 25 mg/dL

Creatinine: 1.6 mg/dL

After your intervention, Veronica states she feels better and her anxiety is reduced. After the teaching has been done, the patient prep has been completed, and the consent is obtained, Veronica is moved to the surgical area.

How will you promote safety during her transfer to the surgical gurney/cart?
What information should be documented? What priorities would you have for a verbal report?

Reference no: EM132469405

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