1. A middle-aged female presents to the ER >1 wk postop laparoscopic oopherectomy (significant adhesions) after > 12 hrs LLQ pain unrelieved by the oral analgesic she had been prescribed postop. Significant fresh abdominal bruising, frequent vomiting, no return from OTC enema at home...SOB, K+ 2.7, and "Looks sick as hell" (according to the paramedic who brought her in and the "2" ER nurses assigned to her).
?What's your Dx:
2. After admission and over the course of a few hours w/ SSE x 2 w/ minimal return has tympanic T100.2, 101.4, ^RR, ^HR, weak pulse and can't get B/P on the Dynamap
? What's your Dx:
Other things I should add to this case study for ER nurses and floor nurses as an exercise in critical thinking so they can communicate effectively w/ the surgeon? What would you dx based on this info and what else would you want to know/order, etc?
Thanks SO much in advance to those of you who are willing to share your knowledge and expertise...