[ANSWER]NUR2203 Nursing the Surgical Patient: Mrs Wendy Green’s Case Study

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Surgical Patient : Mrs Wendy Green’s Case Study: Three priority clinical issues for Wendy are the risks of hypotension, severe pain, and anaemia. As evidenced by a comparison of her blood pressure (BP) preoperatively and postoperatively, Wendy faces the risk of hypotension in the first 24 hours after surgery. Preoperatively, her BP was 155/100; after the operation, her BP is now 90/55.

Generally, normal BP should be between 120/80 and 90/60. This means that her postoperative BP is in the danger zone. Considering that she has a history of hypertension, such a drastic drop in BP should be particularly worrying. Hypotension is caused by a wide range of factors, including certain medications (e.g., analgesics), alcohol, certain medical conditions (e.g., diabetes and heart failure), dehydration, and haemorrhage (Dogu et al., 2014). In Wendy’s case, the hypotension is likely to be as a result of the huge amount of blood she lost during the surgery.

(Estimated blood loss in the operating theatre was 600ml.) The decrease in BP may have been further compounded by anaesthesia before and during surgery as well as her myocardial infarction. It has been shown that patients with myocardial injury are at a higher risk for hypotension following non-cardiac surgery (Liem et al., 2020). Prioritising Wendy’s…[Buy Full Answer for Just USD 9: 2674 WORDS]

[SOLUTION DESCRIPTION] [Surgical Patient]

Type: Essay

Word Count: 2674

Grade/Mark: 97 (Distinction) [Surgical Patient]

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