Question

Piya Jordan is a 68 year old patient who was admitted to the hospital to have surgery to remove an abdominal mass. She underwent a colectomy yesterday removing a mass from her right ascending colon. She has a large abdominal incision with a clean, dry and intact dressing, but fortunately did not require a colostomy. She is on the post operation surgical unit and is requiring post-operative nursing care. She is alert and fully oriented to her surroundings. She has a nasogastric tube in place which has drained 10cc of yellow drainage in the past 8 hours. She is complaining of abdominal discomfort and she states “I’m sick to my stomach and my belly is full”. Please briefly answer to the following questions.

When administering potassium chloride intravenously, what guidelines for the rate of administration should be observed?

Answer 1

The signs and symptoms shows that she is affected with the complication of the clolectomy, the scar tissue that forms an intestinal blockage, this cause the abdominal fullness and secreations in the stomach also cause the constipation. The main complications of colectomy are,

• Bleeding from rectum
• Injury to the ureters and bladder
• Incisional hernia
• A leak between the joind sections of the colon
• and the scar tissue causes intestinal blockage

In this above case the surgical correction is neccessary after confirmation of the complication.

Administration of potassium chloriide

In adults 40 mmol in 1 ltr of NS to be administer in 6 hrs. the higher strenght causes phlebitis and pain so close monitor the patient during the administration of the KCL.

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