Question

This is the Case:

Patient Introduction Doris Bowman is a 39-year-old female patient who underwent a total abdominal hysterectomy with bilateral salpingo-oopherectomy with general anesthesia. Patient tolerated the procedure without complications. She has an abdominal incision covered with a 4 × 4 gauze dressing with no drainage noted. IV of potassium chloride in 5% dextrose and normal saline is infusing at 125 mL/hr. Estimated blood loss was 400 mL. She was extubated in the operating room and is breathing spontaneously at 21 breaths per minute. Blood pressure is stable at 154/92. She has a Foley catheter placed with 200 mL urine output and compression stockings have been applied.

Questions: Please answer these following questions!

2. What further intervention would have been required if naloxone hydrochloride (Narcan) had not been effective in this case?

3. Discuss readiness for discharge from PACU criteria.

4. What key elements would you include in the handoff report for this patient? Consider the SBAR (situation, background, assessment, recommendation) format.

5. What further complications could have occurred if the respiratory depression had not resolved?

Answer 1