s/p lap appy...died in 24 hrs

  1. 0
    i work in a med-surg floor, had a pt s/p lap appy, pt was stable, alert and oriented, ambulatory to the bathroom post op. main issue was pain. pt died after a day. whats the probable cause?

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  2. 17 Comments...

  3. 0
    Do you have any details of what was going on when the patient died? Such as SOB, tremors, temp., bp, HR, o2 sat., etc.
  4. 0
    perhaps pulmonary embolism?.....need more info though
  5. 0
    Could be anything - internal hemorrhage from a nicked organ, massive sepsis (although it's pretty early, would have probably been septic preop), anesthetic-related complications, stroke, MI, PE, respiratory failure, electrolyte imbalance postoperatively (unlikely) etc etc
  6. 0
    No Idea What Was The Pts Status When Pt Died. They Ttansfered The Pt To Ccu And Coded There. But During My Shift Pt Was Alert And Oriented, Ambulatory.only Prob Was Unable To Urinate And Pain. Straight Cath Was About 350ml And Able To Void About 150ml. Sleeps Most Of The Shift And Will Wake For Pain Issues. The Next Day, Failure To Urinate Again, Straight Cath Was None.
  7. 0
    Are You Able To Detect Pulmonary Embolism Ryt After Surgery?IS BOWEL PEORATION A FACTOR? CAN YOU DETECT THESE RYT AFTER SUGERY?
  8. 0
    Why did he get sent to CCU? Sounds like they were worried about cardiac function, which may have led to acute renal failure?
  9. 0
    i was thinking peritonitis?

  10. 0
    Maybe had a nick to his/her colon and ended up with peritonitis (sp) which would explain the pain.

  11. 0
    We need more information such as medical hx, age, VS. It seems that Med-Surg nurses deserve some feedback on something like this as well, in order to get a clearer picture as to possible complications. Have you talked to your manager about this?

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