Post operative laparotomy management

Published

Rx

46 year involved in accident

L Pneumothorax (ICC inserted)

Lacerated Spleen

L shaft of femur

Suspected internal bleeding not identified during surgery

Treatment

Had general anesthetic and a laparotomy with repair of the lacerated spleen

infused with 5units of blood during surgery

indwelling urinary catheter in situ

IVT 8/24

02 via facemark delivered @8l/min

GCS 15

Vital Signs stable

I'm asked to explain in detail assessment i would implement to identify if my patient is bleeding internally and her condition deteriorating with rationales for my answers.

Can someone please help

Thanks

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Specializes in Cardiac.

Wait for it......

.....wait for it......

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I'm asked to explain in detail assessment i would implement to identify if my patient is bleeding internally and her condition deteriorating with rationales for my answers.

Can someone please help

Thanks

We'd be delighted to help. Please share what you've come up with so far so we can help you along.

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Specializes in Med-Surg, Emergency, CEN.

(for Kool-aide RN)

She's started 2 threads to get people to do her homework for her. Sorry, we don't help nursing students cheat their way through school. Do your own homework.

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Specializes in Pedi.

L shaft of femur is not a diagnosis. I assume you mean FRACTURE of L shaft of femur. Also, I hope Sonia (from the other thread) is not the patient's real name.What

What signs would you expect a patient to show if she begins to bleed internally?

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