Mrs. White is a 55 yo female with a PMHx

Case Study Mrs. White is a 55 yo female with a PMH

Mrs. White is a 55 yo female with a PMHx significant for HTN, and DM type 1. She was admitted for abdominal pain.

A CT scan revealed appendicitis. Her home medications include: Metoprolol, Lisinopril, and regular insulin. You

received her from the PACU following a lap appendectomy.

PACU Report: AOx4, VS RR 24, HR 90, BP 125/90, T 99.8, SpO2 95% of 2LNC. Lungs clear. No bowel sounds, Has a

foley catheter to bedside drainage with light yellow urine. Est. blood loss in the OR was 500cc. Pain currently

at 4/10 with a PCA pump with morphine sulfate. The PCA settings are as follows: Basal rate of 3ml/hr, pt dose of

0.5ml Q15min with a 1 hour limit of 5ml/hr. IV fluids of D5 ? NS @ 125ml/hr. #20 RAC. H/H pre-op 13.5/40, post-op

10.5/32.5

1. What are the key assessment parameters for this patient:
2. What are your nursing priorities going to be upon admission to your care?
3. What lab values are you going to need to focus on and why?
4. She is on both a beta-blocker and an ACE inhibitor, why, what is the rationale?
5. Her pain is being managed via a PCA pump. What is this method and what will be your nursing assessment
parameters?
6. Her accucheck is 250, what are two nursing priorities?

 

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