Medicine and surgery Archives - Nursing Scenarios

Post-operatory complication after a partial gastrectomy

Thérèse Guay is a 76-year-old woman who underwent a partial gastrectomy two days ago. The patient complained of frequent dyspepsia and epigastric pain (relieved by antacids), weight loss and a sense of fatigue. After a series of tests, a biopsy was performed that confirmed gastric cancer. A partial gastrectomy was performed to remove the cancerous lesion.

Respiratory depression related to narcotics

Francine Latreille underwent a laparoscopic right hemicolectomy. The day shift has just started. In the interservice report, the nurse mentions to you that Ms. Latreille received a coanalgesic twice during the night and, at 7:30 AM, a 50-mg dose of Dimenhydrinate by IV.

Mastitis

Mélissa Larivière, 36, delivered her third child vaginally 12 days ago. Her husband is present and the couple’s two other children (10 and 6) are helping care for their new little sister.

Chronic renal failure presenting an electrolyte imbalance

Jean Da Silva is 70. He is retired from the construction industry. He was admitted to your unit yesterday for CRF with an electrolyte imbalance. He has had dialysis three times a week for five years now. He has an arteriovenous fistula in the left forearm.

Complications following femoral head and neck replacement surgery

It is 8:00 AM. You are starting your shift in the surgery unit. Your patient, Mr. Giovanni, 72, is a retired plumber. After falling at home last night, he arrived in emergency by ambulance. The neck and head of his left femur were replaced during the night. He was brought to this unit at 5:00 AM this morning.

Acute pancreatitis and accidental displacement of biliary tube

Christopher Brown, a 47-year-old accountant, was readmitted two days ago. He’s a single parent of a 15-year-old boy and was hospitalized a few months ago for acute pancreatitis. This is his second hospitalization in the last three months.

Tachypnea on third post-operative day following hip surgery

Stéphanie Tremblay, 72, retired, is very active. She volunteers for the underprivileged in her community. She is known to have Type-2 diabetes and HBP for a few years. Six days ago she fell at home and fractured her right hip, and as a result underwent surgery three days ago (THA). Postoperation care is going well, except that she feels only…

Monitoring for clinical complications of atrial fibrillation (CVA)

Mr. Bélanger is a man, 67, admitted to emergency in the morning for a feeling of weakness and constant palpitations in the chest. The summary assessment of the patient in emergency identified a de novo atrial fibrillation. The patient says he is tired and feels uncomfortable in his chest area. The clinical examination showed a pulse deficit, specifically, a difference…

Deterioration of general condition toward septic shock

The patient, Mr. Derome, is 54, a labourer, married and father of three children. He was admitted to the unit just over 16 hours ago. He has been suffering from hyperthermia for three days and a pain in the right flank radiating to the lower back with hematuria. The medical diagnosis is right pyelonephritis.

Heart failure vs. fluid overload and arrhythmia

It is 8:15 AM. Bernard Castonguy, 73, was transferred to the medical unit about 30 minutes ago after spending three hours in emergency. He has been hospitalized to stabilize his condition after increasing dyspnea and edema for a few days. Mr. Castonguay was hospitalized twice in the last year for decompensation of his heart failure. He suffers poorly controlled high…

Category: Medicine and surgery