Reference no: EM133320451

Assignment:

You are the surgical pre-op nurse preparing a patient for cosmetic repair of scarring related to self-mutilation cutting. Your patient, Miranda< is a 15-year-old patient who is being admitted pre-op for surgical repair related to multiple episodes of cutting over the last 2 years. Significant medical history includes depression being treated with Elavil 100 mg po q HS.

Miranda tells you that she "more than doubled up" on her Elavil last night because she was nervous about her pending surgery. She is 157 cm tall and weighs 45 kg. T: 37.0 P: 136 R: 18 BP:

114/56. Her Lungs are clear. Her abdomen is slightly distended hypoactive bowel sounds. She says that she feels a "bit bloated" from the pepperoni pizza that she ate last night. You instruct the patient that a pre-op urinalysis is needed. When she gets up to go into the bathroom she complains of feeling "woozy." She attempts but is unable to void. One of the preoperative orders includes administering atropine 0.9 mg IM. You realize that the atropine order may not be appropriate.

· Discuss contributing factors

· Discuss vital sign/lab or symptom-related abnormalities

· Discuss medication-related safety issues

· Answer questions cited above

· Cite 2 references