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    De Sagun, Leila Camille, A. NCMB312-RLE BSN3Y1-1B Course Task #1

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    Carl Santos
    Mrs. Campana, an 80-year-old woman who had colon surgery, was slow to respond after being transferred from the recovery room. This is likely because she received opioids which older adults metabolize more slowly. The nurse's top priorities are to check her vital signs and do a neurological assessment to ensure her decreased responsiveness is not due to hypoxemia or a neurological issue. If any abnormalities are found, the nurse must notify the charge nurse or surgeon. When Mrs. Campana's daughter expresses concern, the nurse will provide factual information about her mother's condition, explain why she may be sleepy from anesthesia and opioids, and give health teachings to address any emergencies.

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    De Sagun, Leila Camille, A. NCMB312-RLE BSN3Y1-1B Course Task #1

    Uploaded by

    Carl Santos
    71 views1 page
    Mrs. Campana, an 80-year-old woman who had colon surgery, was slow to respond after being transferred from the recovery room. This is likely because she received opioids which older adults metabolize more slowly. The nurse's top priorities are to check her vital signs and do a neurological assessment to ensure her decreased responsiveness is not due to hypoxemia or a neurological issue. If any abnormalities are found, the nurse must notify the charge nurse or surgeon. When Mrs. Campana's daughter expresses concern, the nurse will provide factual information about her mother's condition, explain why she may be sleepy from anesthesia and opioids, and give health teachings to address any emergencies.

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    NCMB312-RLE-CT1

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    Mrs. Campana, an 80-year-old woman who had colon surgery, was slow to respond after being transferred from the recovery room. This is likely because she received opioids which older adults metabolize more slowly. The nurse's top priorities are to check her vital signs and do a neurological assessment to ensure her decreased responsiveness is not due to hypoxemia or a neurological issue. If any abnormalities are found, the nurse must notify the charge nurse or surgeon. When Mrs. Campana's daughter expresses concern, the nurse will provide factual information about her mother's condition, explain why she may be sleepy from anesthesia and opioids, and give health teachings to address any emergencies.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    71 views1 page

    De Sagun, Leila Camille, A. NCMB312-RLE BSN3Y1-1B Course Task #1

    Uploaded by

    Carl Santos
    Mrs. Campana, an 80-year-old woman who had colon surgery, was slow to respond after being transferred from the recovery room. This is likely because she received opioids which older adults metabolize more slowly. The nurse's top priorities are to check her vital signs and do a neurological assessment to ensure her decreased responsiveness is not due to hypoxemia or a neurological issue. If any abnormalities are found, the nurse must notify the charge nurse or surgeon. When Mrs. Campana's daughter expresses concern, the nurse will provide factual information about her mother's condition, explain why she may be sleepy from anesthesia and opioids, and give health teachings to address any emergencies.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    of 1

    DE SAGUN, LEILA CAMILLE, A.

    NCMB312-RLE

    BSN3Y1-1B

    COURSE TASK #1

    Mrs. Campana has just been transported to your surgical nursing division from the PACU. She is 80
    years old had a right colectomy (right-sided large bowel resection) for removal of tumor. Her vital signs
    were stable in the PACU, and her temperature was 36.8degrees Celsius. She has an IV line in her right
    arm, a Foley catheter, a nasogastric tube, and oxygen a 4L/min. per nasal cannula. She received a total of
    5 mg of morphine sulfate IV in the PACU and now has morphine patient-controlled analgesia with a
    demand dose of 1mg every 10 minutes connected to her IV line. When you assess her, she is slow to
    respond?

     Why may Mrs. Campana be slow to respond?

     Mrs. Campana may be slow to respond is that she received an opioid analgesic in the PACU
    and because of this she may be experience tendency to metabolize opioids slowly because she
    is already 80 years old and the older adults have slower metabolized in opioids. So, in order
    of that we need to adjust her morphine in lower dose. She may experience delayed renal
    clearance of operatively administered anesthetic agents as regards her morphine in lower
    dose.

     What are your priority assessments at the time considering Mrs. Campana’s current decreased
    responsiveness? What do you need to do if you discover any unexpected or abnormal assessment
    findings?

     My priority assessment when Mrs. Campana’s current decreased responsiveness is I should


    always check her vital signs especially the pulse rate to immediate verification that the patient
    is not hypoxemic. I should also assess on neurological examination results so that I can
    determine if there are abnormal results in level of orientation, pupil’s response, present of gag
    reflex and movements all extremities to eliminate a neurological event as the reason for her
    decreased responsiveness. You can also lower the dosage of PCA or temporary hold the
    medicine until Mrs. campana is more arousable. If you discover any unexpected or normal
    assessment findings just notify the nurse in charge or the surgeon.

     Mrs. Campana’s daughter enters the room and is very concerned about her mother’s slowness to
    awaken. What do you tell her?

     When the daughter enters the room, I will give her factual information about the results of her
    mother’s vital signs, oximetry and any laboratory results that her mother may undergone. I
    will explain to her the rationale for the normal sleepiness in patients after surgery related to
    the anesthetic administered in the operating room and opioids in the PACU. I will also give
    instructions for her mother’s medication. And lastly give health teachings so that daughter
    and mother know what to do whenever there is any emergency that occurs.

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