What should you remain on alert for with the patient

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Reference no: EM133630452

Problem: Post-op Cholecystectomy

Background Info:

42-year-old female patient presented to the emergency room after experiencing two weeks of nausea, dyspepsia, fever, and upper abdominal pain. A HIDA scan was completed confirming the diagnosis of acute cholecystitis. The pt. underwent a laparoscopic cholecystectomy late this morningand just returned to the floor from the PACU 1 hr. ago. She received a total of 1500ml LR during the procedure, and 6mg Morphine and 4 mg Zofran in the PACU. Her last set of vitals in the PACU: P-88, R-20, BP-122/76, and O2Sat 95% on 2L of O2 via NC. The pt. is a full code, allergic to latex, adhesive tape, and bees. She lives alone with one cat, she's overweight but currently working on weight loss, denies smoking and drinks a few glasses of wine a week. Additional past medical and surgical history considerations include routine mammogram (2020), tonsillectomy (1987), wisdom tooth removal (1998), high cholesterol and non-insulin dependent diabetes managed with Metformin.

Current Assessment/Facts:

1) T- 98.9 F, P-89, R-18, BP- 135/75
2) O2 sat- 96% on 2L NC.
3) Abdomen is soft and round
4) Significant nausea present
5) Lungs clear
6) Heart rate regular
7) NPO
8) Alert and oriented x 4
9) Abdominal pain of 7/10
10) 20 gauge peripheral IV in her right lower arm
11) FSBG- 190

12) NS @ 100ML per hour
13) 2MG of morphine was administered 45 minutes ago
14) Wean O2 to keep Sat's above 90%
15) Bruising on her right arm from IV attempts
16) SCD's and TEDS on
17) 4 lap incisions to the abdomen clean, dry, and intact
18) IV Zosyn q6h ordered.
19) WBC- 15,000

Task

Question I. What's missing from your report?

Question II. What should you remain on alert for with this patient?

Question III. What are the important assessments to make?

Question IV. What complications could occur with this patient?

Reference no: EM133630452

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