Reference no: EM133858941
Assignment:
Can someone please help on how to describe the pathophysiology behind a fluid volume deficit and acute pain in relation to this scenario?
During the afternoon Mr. Fraser's blood pressure remains below his pre-operative reading and his urine output approximately 30 mL/hr.
When you enter his room to take the observations at 1800 Mr. Fraser looks distressed.
Your assessment reveals the following:
RR 22 and shallow, chest clear, oxygen saturation 93% on 2L oxygen via nasal prongs, P 116, BP 92/60, T 36.2, pain score 8/10, BGL 12.2. His urine output for the previous hour is 10mL. He is not able to take a deep breath on command. He says he feels nauseated and has not been able to tolerate more than a few sips of water. His lips and tongue look dry. When you check his PCA history you note that there have been no recent demands recorded.
His abdomen is slightly distended, occasional bowel sound on auscultation. The area around the midline incision is slightly pink, and there is scant haemo-serous ooze on the dressing, and minimal haemo-serous drainage in the Belovac.