Case ScenarioJohn Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Summary:Given case: 53 years old, maleHistory ofType-1 diabetes mellitus,CAD ( Coronary Artery Disease) PAD ( peripheral artery disease) Cigarette smoking 40 packs per yearCOMPLAINTS:6 weeks ago, he developed a wound in his left heel.Despite antibiotics, patient developed a gangrene infection. ADVISE:To undergo BKA ( Below knee amputation) of left lower extremitiesMEDICATION:Daily insulin, aspirin 325 mg /day, pletaal 100 mg BDPost-operative Data:Post-operatively, Mr. Doe goes to the Post Anesthesia Care Unit (PACU) where he is extubated and begins to awaken from surgery. He is drowsy but arousable; tends to move and be restless. His expected blood loss is 800 cc. He has an IV in his right arm infusing D5.45%iL at 100 cc/hr. Post-operative labs are drawn and sent. His vital signs: BP100/60mmHg, PR-92bpm, RR-22cpm; and his dressing is slightly soaked with blood and with a removal drain at the site. Main Question:What post-operative assessments and immediate post-operative interventions should be performed for Mr. Doe?

Post-operative assessments and immediate post-operative interventions Interventions post surgery…

Answered: What post-operative assessments and…

Surgical Tech For Surgical Tech Pos Care

5th Edition

ISBN:9781337648868

Author:Association

Publisher:Association

Chapter7: Preventing Perioperative Disease Transmission

Section: Chapter Questions

Problem 7.2.4CS

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Case Scenario

John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID.

Summary:

Given case: 53 years old, male

History of

Type-1 diabetes mellitus,
CAD ( Coronary Artery Disease)
PAD ( peripheral artery disease)
Cigarette smoking 40 packs per year

COMPLAINTS:

6 weeks ago, he developed a wound in his left heel.
Despite antibiotics, patient developed a gangrene infection.

ADVISE:

To undergo BKA ( Below knee amputation) of left lower extremities

MEDICATION:

Daily insulin, aspirin 325 mg /day, pletaal 100 mg BD

Post-operative Data:

Post-operatively, Mr. Doe goes to the Post Anesthesia Care Unit (PACU) where he is extubated and begins to awaken from surgery. He is drowsy but arousable; tends to move and be restless. His expected blood loss is 800 cc. He has an IV in his right arm infusing D5.45%iL at 100 cc/hr. Post-operative labs are drawn and sent. His vital signs: BP100/60mmHg, PR-92bpm, RR-22cpm; and his dressing is slightly soaked with blood and with a removal drain at the site.

Main Question:

What post-operative assessments and immediate post-operative interventions should be performed for Mr. Doe?

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