My nursing situation is about a young doctor in the system where I work. He was admitted to an intensive care unit private room for an inguinal hernia repair. The surgery is usually simple. His young wife, however, was overwhelmed with the idea of caring for him for three days given that she has three small children to attend. It was decided to keep him in the hospital intensive care unit where I cared for him for three days.
The first two days was uneventful. On the third day I got report that the patient had a horrible night. I went in the room for a quick look I notice the patient was pale, no urine output, and was complaining of abdominal pain. The report was that the intensivist doctor tried everything during the night including giving him laxative and diuretic during the night shift with no success.
In assessing his condition, I noticed his abdomen was taut and swollen. I asked the day intensivist to do CT scan for a more accurate picture of what was going on with this patient. He decided against the CT scan but ordered an X-Ray of the abdomen. The result showed that there was a lot of fluid compressing on his bladder, colon, and kidney. I called the intensivist with the result but he wasn’t convinced of the seriousness of the situation and was indecisive.