Exam (elaborations) Gastrointestinal Patient Thao Answers

GI – Patient THAO

Postoperative patient experiencing
hypotension due to fluid volume
deficit.
(Case and Correct answers)

, GI – Patient THAO

postoperative patient experiencing hypotension due to fluid volume deficit.




Overview
Lou Thao is a 43-year-old Vietnamese American male who has just been
transferred from the postanesthesia care unit (PACU) to the medical-surgical unit
for recovery following laparoscopic sigmoid colon resection. The scenario takes
place on Tuesday at 1930, at which time Lou is hypotensive and tachycardic.
During this scenario, students will have the opportunity to assess and manage
care for a postoperative patient experiencing hypotension due to fluid volume
deficit.

Your goals as nurse care giver:
 Conduct a focused postoperative assessment
 Provide individualized teaching
 Notify provider of patient status change using SBAR
 Recognize abnormal findings:

 Prioritize and implement appropriate interventions:
▪ Initiating 1000 mL normal saline IV fluid bolus per order

 Recognize and promptly treating physiologic changes
 Follow the 6 rights of medication administration
 Evaluate patient's responses to interventions
 Evaluate effectiveness of communication and teaching
 Access patient data, including prior care
 Document care in the electronic health record (Use Word to create nursing
documentation as you go through scenario)

Location: Inpatient, Medical-Surgical Unit
Patient name: Lou
Thao Medical record
#: 7349185 Date of
birth: April 17
Age: 43
Sex: Male
Admitting provider: Robert Preston,
MD Scenario start day: Day 1,
Tuesday Scenario start time: 1930
Chief complaint upon admission: Diverticulitis
Primary diagnosis: Diverticulosis with chronic diverticulitis
Secondary diagnosis: Hypothyroidism