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Post-op Pain Management Case Study: Day of Surgery, Sheila Dalton is a 52-year-old Woman

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Post-op Pain Management Case Study: Day of Surgery History of Present Problem: Sheila Dalton is a 52-year-old woman who has a history of chronic low back pain and COPD. She had a posterior spinal f... usion of L4-S1 today. She had an estimated blood loss (EBL) of 675 mL during surgery and received 2500 mL of Lactated Ringers (LR). Pain is currently controlled at 2/10 and increases with movement. She was started on a hydromorphone patient-controlled analgesia (PCA) with IV bolus of 0.1 mg and continuous hourly rate of 0.2 mg. Last set of VS in post-anesthesia care unit (PACU) P: 88, R: 20, BP: 122/76; requires 4 liters per n/c to keep her O2 sat >90%. You are the nurse receiving the patient directly from the PACU. [Show More]

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