krisket

Thanks guys!! It all makes a lot more sense now!

Thanks Castiel for your reply! This is from my uni assignment. That's all the information I got; no base line obs no spo2/O2 therapy, no info on bleeding, medication hx, LOC (she just returned from recovery so I assume she's at least rousable) , fluid balance, tanaestheics used; and based on that info I got to discuss the pathophysiology behind the post op "deterioration" and nursing management that needs to be implemented.

I know this is not the appropriate thread, but I'm not sure where else to ask. I have a patient who is admitted for lady partsl hysterectomy via spinal anaesthesia. RTW with IDC and PCA. Obs on return to ward were Respiration rate 30 per minute • BP 90/50mmHg • Pulse 130bpm • Temperature 36.5C • Pain 0/10 • Indwelling urinary catheter insitu with 10mls of urine output for the last hour I'm going to argue that the BP and pulse are the result of bleeding during surgery and spinal anaesthesia. Low urine output + BP and pulse might possibly indicate dehyderation? I'm not sure what tachypnoea might indicate. Since spinal anaesthesia usually depress resp, is this an early sign of an infection? The patient has a history of depression and heavy smoking, would these have any major effect post op? Thanks guys