Perioperative Case Study - Valencia College



Perioperative Case Study

Patient Profile:

Mr. P 74-year-old African American retired college professor has just undergone surgery for a fractured left hip. He fell off a ladder while painting his house. The surgery, performed while the patient was under general anesthesia, was uneventful.

The patient reported the following:

Subjective Data:

Was in excellent health prior to the fall

Played tennis three times each week

Walked 20-30 miles a week

Always had problems sleeping

Difficulty hearing

Upset with injury and its impact on activity

Have no relatives or friends to care for him

Objective Data:

Abduction pillow between his legs post surgery

Two peripheral IV catheters, Penrose drain from left hip dressing

Indwelling catheter

Hearing Aid

Vital Signs in PACU

D5 ½ NS at 100ml/hr

Morphine via patient controlled analgesia 1mg/ q 6 min

(30mg max in 4 hr) for pain

Advance diet as tolerated

Triflow spirometry qhrX10

See next page for questions:

Questions - Perioperative Case Study

Student’s please answer the questions per your group and come ready to discuss for your Perioperative seminar. Any questions please e-mail me at: chansen3@valenicacc.edu

Mrs. Echeverria’s Group

1. What are the potential post anesthetic problems that the nurse might expect with Mr. P?

2. When giving an opioid analgesic such as Morphine, what should the nurse closely monitor? What medication would you have close by in case of an emergency?

3. Fill out your med sheet for the following meds: Morphine Sulfate and Acetylsalicylic Acid.

_____________________________________________________________________

Mrs. Gordon’s Group

1. What nursing interventions would be appropriate to prevent complications?

2. What is the purpose of an anticholinergic? What are the adverse reactions?

3. Fill out your med sheet for the following meds: Codeine an Acetaminophen

Mrs. John’s Group

1. Following admission of the postoperative patient to the clinical unit, list the

assessment data in order of priority.

2. What is the purpose of giving and anti-infective medication prior to surgery? And when do you give it? How is it given?

3. Fill out your med sheet for the following meds: Percocet and Ibuprofen _____________________________________________________________________

Mrs. Krasa

1. Mr. P has urine output averaging 20ml/hr for the first postoperative day. What

would be the nurse’s evaluation?

2. When giving a 90 year-old patient Versed, what is the usual route? What do you assess for?

3. Fill out your med sheet for the following meds: Narcan, Acetylcysteine

Your Medication sheet will be under Perioperative in the course material section(

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