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Reflection: Hypovolaemia This reflection evaluates the case of a postoperative appendectomy patient suffering from hypovolaemia due to postoperative bleeding. This reflection will focus on the postoperative care administered to the patient and the nursing actions carried out when the deterioration of the patient’s condition was noted.
The patient subject of this reflection is a 38 year old male who had no significant medical history, was not alcoholic, and was not a smoker. He was wheeled into recovery after an appendectomy. When he was admitted to the recovery room, he was drowsy but rousable and his observations were within normal levels. After 15 minutes however, the patient’s condition started to deteriorate. His blood pressure dropped to 90/60 mmHg, his heart rate increased, and he was experiencing shortness of breath. He was also groggy and becoming increasingly unresponsive to our attempts to rouse him. I immediately checked his incision site and noted some moderate oozing of blood which partly soaked his surgical dressing. I also noted that his surgical drain had some blood. His urine output also decreased. There was also some haematoma or bruising in his pelvic area. I immediately informed his attending physician and surgeon about the deterioration of the patient’s condition. I also marked the area soaked with the blood on his surgical dressing. A blood transfusion was immediately ordered and I assisted in the transfusion. The patient was also placed on oxygen therapy. ...
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