Draining small amounts of sero-sanguineous drainage

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Reference no: EM133793633

Question

Mr. Morphus had a left hip arthroplasty 2 days ago. He has a hemovac drain in the left hip that has been draining small amounts of sero-sanguineous drainage. His incisional dressing is dry and intact. He has an IV 2/3 & 1/3 at 50 cc/hr. He has been eating and drinking well. His 0800 vital signs are: HR 74, BP 132/78, RR 18, SpO2 96% on room air. Physiotherapy assisted him into the chair after breakfast and he ambulated with moderate difficulty. You go into his room to administer his 1000 medications and to check his vital signs prior to administration of his antihypertensive medications and Fragmin (enoxaparin). You notice that he is pale, diaphoretic and is complaining of chest pain and shortness of breath (SOB).

What are the immediate nursing interventions?

Reference no: EM133793633

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