*NURSING > CASE STUDY > Part II: Perforated Bowel/Sepsis/ICU(CP4) (All)
Part II: Perforated Bowel/Sepsis/ICU(CP4)
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Part II: Perforated Bowel/Sepsis/ICU(CP4)>Mary O’Reilly is a 55-year-old female with a prior history of partial colectomy w/colostomy who was admitted to the medical/surgical unit for small bowel ob... struction. Yesterday she developed severe RLQ abdominal pain and CT revealed a perforated small bowel with free intraperitoneal air. Before she was brought to the operating room (OR) for an exploratory laparotomy, her lactate was 4.9, WBC 18.9, and her systolic BP began to drop to 65-75, with a mean arterial pressure (MAP) of 50-55. She received a total of 2500 mL of 0.9% NS preop and piperacillin-tazobactam 4.5 g. IVPB. Her last BP before she went to the OR was 94/52 w/MAP 65. [Show More]
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