surgical nursing / Student Nursing / Nursing General / Forums / NurseCentral -

Pain would look very much the culprit causing decreased appetite and slightly elevated pulse rate. However I am assuming here because we would be in a better position to determine where the pt is relative to her post operation baseline obs. Increase pain levels can trigger sympathetic responses such as elevated heart and respiratory rate. 20 resp is not significant by any means. BP is unremarkable, assuming her baseline is around the same systolic and dystolic mark. If pt is bleeding internally, BP should be remarkably lower and HR increased substantially as a compensatory mechanism kicks in.

Vomiting can increase risk of lost of essential electrolytes and circulatory shock on the extreme end if not adequately rehydrated. Disturbances in electrolyte levels can cause arrhythmias which will complicate matters. Managing pain would be first priority and the secondary treatment would be symptomatic responses - ie knee jerk reaction...lol...treat the pt's presenting symptoms. I say this because its not treating the underlying cause.

Author	surgical nursing
nurse12 (offline) Joined: Apr 2012 Location: Posts: 1	Mon Apr 02, 2012 7:04 am Hello Can someone please help me... A lady post-operatively after TAH on day 2 has these vital signs: Temp 37.1 P=90bpm, Resp 20bpm, BP 120/65mmHg and pain 8/10. She says she is nauseous and vomited 150mls of clear vomitus. Has a visible sheen of perspiration on her forehead and does not want to eat anything. Has morphone PCA pump 1000mls normal saline 12 hourly. PCA delivering background rate morphine0.5mg per hour with a demand dose of 1mg in 10 minute lock out period. What do these Lindyvital sign indicate anyone? IS it infection, trauma to surrounding organs, internal bleed or just fro her high level pain score of 8/10. What are the two main perninet problems here? Please help

Schizo (offline) Joined: Jan 2009 Location: Posts: 239	Apr 04, 2012, 10:30 am Pain would look very much the culprit causing decreased appetite and slightly elevated pulse rate. However I am assuming here because we would be in a better position to determine where the pt is relative to her post operation baseline obs. Increase pain levels can trigger sympathetic responses such as elevated heart and respiratory rate. 20 resp is not significant by any means. BP is unremarkable, assuming her baseline is around the same systolic and dystolic mark. If pt is bleeding internally, BP should be remarkably lower and HR increased substantially as a compensatory mechanism kicks in. Vomiting can increase risk of lost of essential electrolytes and circulatory shock on the extreme end if not adequately rehydrated. Disturbances in electrolyte levels can cause arrhythmias which will complicate matters. Managing pain would be first priority and the secondary treatment would be symptomatic responses - ie knee jerk reaction...lol...treat the pt's presenting symptoms. I say this because its not treating the underlying cause.

Nursing issues

surgical nursing