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SV_GI - Patient THAO answer

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postoperative patient experiencing hypotension due to fluid volume deficit. Overview Lou Thao is a 43-year-old Vietnamese American male who has just been transferred from the postanesthesia care unit (PACU) to the med ...

postoperative patient experiencing hypotension due to fluid volume deficit. Overview Lou Thao is a 43-year-old Vietnamese American male who has just been transferred from the postanesthesia care unit (PACU) to the medical-surgical unit for recovery following laparoscopic sigmoid colon resection. The scenario takes place on Tuesday at 1930, at which time Lou is hypotensive and tachycardic. During this scenario, students will have the opportunity to assess and manage care for a postoperative patient experiencing hypotension due to fluid volume deficit. Your goals as nurse care giver:  Conduct a focused postoperative assessment  Provide individualized teaching  Notify provider of patient status change using SBAR  Recognize abnormal findings:  Prioritize and implement appropriate interventions:  Initiating 1000 mL normal saline IV fluid bolus per order  Recognize and promptly treating physiologic changes  Follow the 6 rights of medication administration  Evaluate patient's responses to interventions  Evaluate effectiveness of communication and teaching  Access patient data, including prior care  Document care in the electronic health record (Use Word to create nursing documentation as you go through scenario) Location: Inpatient, Medical-Surgical Unit Patient name: Lou Thao Medical record #: 7349185 Date of birth: April 17 Age: 43 Sex: Male Admitting provider: Robert Preston, MD Scenario start day: Day 1, Tuesday Scenario start time: 1930 Chief complaint upon admission: Diverticulitis Primary diagnosis: Diverticulosis with chronic diverticulitis Secondary diagnosis: Hypothyroidism Patient: Lou Thao Lou Thao is a 43-year-old Vietnamese American male who has just been transferred from the postanesthesia care unit (PACU) to the medical-surgical unit for recovery following laparoscopic sigmoid colon resection. The scenario takes place on Tuesday at 1930. During the scenario, Lou is experiencing fluid volume deficit and has low blood pressure and an increased heart rate. He is dizzy, thirsty, and groggy. He feels scared and vulnerable. He explains his symptoms very clearly but has no idea what is going on. His wife May is at the bedside and is supportive. She voices concern regarding Lou's condition.

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