Mr J. is a 44 year-old man with no previous medical history presents to the emer

Question

Mr J. is a 44 year-old man with no previous medical history presents to the emergency department with a chief complaint of severe abdominal pain, fever, and chills. He is subsequently admitted to the critical care unit after an open exploratory laparotomy where it was found that he had a perforated appendix and diffuse peritonitis. Intraoperatively he had an estimated blood loss of 350 mL and he received 1 Liter of crystalloid solution in the OR. He arrives at the critical care unit intubated and sedated with a right radial arterial line, a five-lumen pulmonary artery catheter, and an indwelling urinary catheter in place. CASE SCENARIO QUESTIONS: 1.The charge nurse and CCU nurse receiving the patient from the OR team had just finished getting the patient settled. The CCU nurse performs her admission assessment and documenting vital signs and pressure. Before she records his arterial, pulmonary artery pressure and right atrial pressure readings, what should she do first? Why?

Explanation / Answer

Mr J. is a 44 year-old man and he had a signs of hemorrhaging or of hemorrhagic shock symptoms. It is mainly due to internal bleeding, so he seek medical attention immediately.

Once your body loses these substances faster than it can replace them, organs in your body begin to shut down and the symptoms of shock occur. Blood pressure plummets, which can be life-threatening.

Losing a lot of blood, such as from a surgery or internal bleeding, reduces the amount of blood in your body, leading to a severe drop in blood pressure.

So the CCU nurse after receiving the patient from the OR team she records his arterial, pulmonary artery pressure and right atrial pressure readings to know about patient position.

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