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
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.
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?
If he died within 24 hrs after appy, then it would not be sepsis, ARF. Hemmorage could cause pain and low urine output. Have also seen PE cause sudden death, but most of the time they code on the floor, no time to get to the unit. My bet would be bleeding if younger, if older add MI, Stroke to the mix.
pt is young early 30's, hx of drug abuse, obese...
i just heard that they gave the pt bolus of 1liter and still no UO. VS on my shift 99 degrees something, sbp around 130's, 93-96 % rooma 2liters, checked again, wthin dat range also. but the next morning he's febrile, tachy and diaphoretic, dont knw the bp, able to sleep after pain shot. md came to visit and didnt detect anythin wrong. then he coded the next day.