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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