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Asked by ChancellorIceKudu28
Patient Introduction
Location: Surgical Unit 0800
Report from night shift charge nurse:
Situation: Sara Lin is an 18-year-old female patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.
Background: Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.
Assessment: Sara is alert and oriented, appropriate for age. She needs to be reminded to use her incentive spirometer. Abdomen is soft, tender to touch. Bowel sounds active. She has progressed to regular diet, and she’s eating small amounts. No nausea reported since postoperative day 1. The abdominal dressing was changed by the surgery team early this a.m. The incision is closed with staples; the edges are well-approximate and only slightly reddened with minimal serosanguinous drainage. Her sequential compression devices were discontinued, and her Jackson-Pratt drain was pulled this morning. A small amount of bleeding was present; no further bleeding is noted. This morning, she had her first small soft brown stool since surgery.
Recommendation: You will have to transition Sara to oral antibiotics and pain medication. She last had pain medication 4 hours ago. You will need to provide discharge patient education on incision care, pain medication and antibiotics, signs of postoperative infection, activity restrictions, and surgical follow-up.
Pharmacology
Expert Clinical Content from Lippincott Advisor
Oxycodone hydrochloride Oxycodone hydrochloride
Procedures
Expert Clinical Content from Lippincott Procedures
Pain assessment Pain assessment
Safe medication administration practices, general Safe medication administration practices, general
Postoperative care Postoperative care
questions: please make study case for this patient
1- what is patient  demographics?
2-medication diagnosis
3-.pathophysiology ( what treatment)
please proved the website link. thank you
SCIENCE
HEALTH SCIENCE
NURSING
NUR 169
