Patient Recovery
When the patient was returned to the ward after surgery, her dressing, medical observation, and analgesia should have given more importance. After the half hour of the entry of patient the pulse, temperature and the respiration rate of the patient increased to an abnormal level. Making the situation worse her blood pressure fell to a dangerous level. Form the surgical sutures of the patient there was a discharge and the wound posed a great risk of infection. Additional care and attention should have been given to the surgical incision. Since the patient was going through extreme agony and severe pain the intake of intravenous analgesics should have been elevated through the saline intake. While conducting the surgery her blood pressure was comparatively very high but it reduced to a considerable level when she was admitted to the ward. The BP of the patient should have been monitored on a regular basis.
When the health of the patient faded she should have been mounted with an oxygen mask to aid her respiration. Her abnormal rate of heartbeat i.e. the tachycardia condition may have been because of her medical condition and should have been medicated with the injection of proper drugs. The accumulation of gas in the abdomen area should have resulted in the distending i.e. the situation of necrotizing fasciitis and resulted in the tight abdomen.
As mentioned above the patient shows the strong symptoms of Necrotising Fasciitis which occurred after the operation of the vermiform appendix by the process of laparoscopic appendectomy (Raghavendra, Mills and Carr, 2010). In this situation, the patient suffers great pain in his abdominal area with tightness and bloating. The condition of Necrotising Fasciitis can facilitate an increased pace of infection in the connective tissue of the fascial planes. The team nurses should consult the doctor if the condition of the patient worsens further. The medical condition of the patient should be confirmed and it should be checked whether a change in medication is needed. Previously the patient had received the dose of fentanyl and the additional requirement of morphine was informed to the hospital. The current condition should be informed to the doctor by the team of nurses and it should be confirmed whether the patient should be given the dose of morphine in this condition. A regular observation should be undertaken in the case of Louis since she had lost her consciousness.
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