Question

A female patient is admitted for a total abdominal hysterectomy (TAH) this morning. She is 52 years old and is obese. Her past medical history indicates that she stopped smoking 5 years ago. Both parents are deceased. Mother died at the age of 88 and father died from a heart attack at the age of 62. Her vital signs are T 97.8, P 76, R 18, BP 164/92. The following laboratory studies were done: CBC, PT, serum electrolytes of Na, K+, serum Fasting Blood Sugar (FBS), BUN and creatinine, UA. from the case study list the 4 factors that increase Mrs. Hale's risk of postop complications and why each one causes increased risk.

Answer 1

Total abdominal hysterectomy:

it is a surgical procedure that removes the total uterus as well as cervix through an incision in lower abdomen.

in above question: women is admitted for totaabdominal hysterectomy ,and she is having high blood pressure about 164/92 and she is obesed.

common post operative complications are:

• bleeding
• ureter damage
• bladder damage
• Infection
• thrombosis
• early enopause etc.
• relation of laboratory test with risk of post operative complications are:
• CBC count:it gives important information regarding the kinds of cells in blood and its importance(RBC COUNT ,WBC ,PLATE LETS ,)
• RBC COUNT:it help to detect the anaemia due to excessive bleeding after total hysterectomy.
• Wbc count: it helps to detect the infection ,when the patient gets infection automatically WBC count will risen.
• platelet count : it is usef to detect the bleeding disorders .
• Prothrombin time : it is used to rule out the bleeding disorders ,abnormality is there will be increased prothrombin time .
• Creatinine level: due to high blood pressure (164/92) increase the Creatinine level ,it will cause the kidney failure .
• Sodium and potassium levels : due to the operative procedure there wil be a imbalance in electrolyte balance,if sodium decreases hyponatremia ,low potassium levels causes circulatory changes and elctrolyte deficiency Disorders after the surgery.
• Fbs: due to obesity there will be a risk of diabetes mellitus ,if the increased fasting blood sugar causes hyperglysemia.and other related diseases.