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Assignment Task

Question 1: Describe Hartmann’s Procedure including definition, indications, and complications. Ensure you apply this discussion to Mr. Kahil.
You are handed over that the procedure went well with no complications. Mr. Kahil was stable throughout the recovery period. His observations pretransfer to the ward are:  
• Alert and coherent  
• Temperature: 35.9 and warm on palpation 
• Pulse: 72 bpm and regular  
• Blood Pressure: 110/72mmHg (MAP 65mmHg)  
• Respiration: 16 bpm  
• SpO2: 99% on 1lt intranasal delivery  
• Pain: 1/10 (localized to the abdomen

Mr. Kahil is transported back to your ward for ongoing management. When you arrive on the ward you notice that Mr. Kahil appears to be diaphoretic and cool to touch. You immediately complete a set of vital signs:  
• Drowsy 
• Temperature: 35.1 and cool on palpation 
• Pulse: 102 bpm and regular  
• Blood Pressure: 91/58mmHg (MAP 60mmHg)  
• Respiration: 14 bpm  
• SpO2: 92% on 1lt intranasal delivery  
• Pain: 1/10 (localized to the abdomen, dull in characteristics)  

 

Question 2: Review the above vital signs of Mr. Kahil. Using your knowledge of the common causes of clinical deterioration in the postoperative patient; a state which likely reversible cause  (one of the 4H’s & 4T’s) Mr. Kahil is experiencing and describe its pathophysiological cause resulting in Mr. Kahil’s deterioration. 

Question 3: Discuss THREE specific nursing assessments that would be prioritized for Mr. Kahil’s deterioration (excluding vital signs). For EACH nursing assessment, ensure your discussion includes a description of these assessments in the context of Mr. Kahil’s condition AND a clear rationale  as to why these assessments would be a priority.

Question 4: Discuss THREE specific nursing interventions that YOU as a Registered Nurse could initiate to manage Mr. Kahil’s deterioration.

Questions 5: Mr. Kahil is prescribed a bolus of intravenous isotonic crystalloid fluids. Describe the indication for and physiological effect of administration of bolus fluids.

Question 6: Describe THREE nursing evaluations that you would complete in response to the assessments and interventions you have completed. For EACH evaluation, provide a brief rationale  as to how these evaluations will assist in preventing the further clinical deterioration of Mr. Kahil.

 

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  • Uploaded By : Roman
  • Posted on : February 12th, 2019
  • Downloads : 148

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