Question

Maria Perez, a 53 year old patient, is day 1 after a gastric bypass. She complains of shortness of breath; her respiration rate is 30 breaths/min, heart rate is 110 bpm, pulse oximetry 89% on room air, temperature is 100 F, and her blood pressure is 90/50 mmHg. She complains of feeling anxious and having stabbing chest pain which gets worse with inspiration. She complains that she feels like she is going to pass out or possibly die.

(Learning Objective 7)

a.      What could probably be going on with the patient and what measures should the nurse provide immediately?

b.     What risk factors does the patient have for pulmonary embolus?

c.      What measures are appropriate to manage pulmonary embolism?

d.     What measures are appropriate to help the patient in this case study prevent the reoccurence of pulmonary embolism?Maria Perez, a 53 year old patient, is day 1 after a gastric bypass. She complains of shortness of breath; her respiration rate is 30 breaths/min, heart rate is 110 bpm, pulse oximetry 89% on room air, temperature is 100 F, and her blood pressure is 90/50 mmHg. She complains of feeling anxious and having stabbing chest pain which gets worse with inspiration. She complains that she feels like she is going to pass out or possibly die.

(Learning Objective 7)

a.      What could probably be going on with the patient and what measures should the nurse provide immediately?

b.     What risk factors does the patient have for pulmonary embolus?

c.      What measures are appropriate to manage pulmonary embolism?

d.     What measures are appropriate to help the patient in this case study prevent the reoccurence of pulmonary embolism?Maria Perez, a 53 year old patient, is day 1 after a gastric bypass. She complains of shortness of breath; her respiration rate is 30 breaths/min, heart rate is 110 bpm, pulse oximetry 89% on room air, temperature is 100 F, and her blood pressure is 90/50 mmHg. She complains of feeling anxious and having stabbing chest pain which gets worse with inspiration. She complains that she feels like she is going to pass out or possibly die.

(Learning Objective 7)

a.      What could probably be going on with the patient and what measures should the nurse provide immediately?

b.     What risk factors does the patient have for pulmonary embolus?

c.      What measures are appropriate to manage pulmonary embolism?

d.     What measures are appropriate to help the patient in this case study prevent the reoccurence of pulmonary embolism?Maria Perez, a 53 year old patient, is day 1 after a gastric bypass. She complains of shortness of breath; her respiration rate is 30 breaths/min, heart rate is 110 bpm, pulse oximetry 89% on room air, temperature is 100 F, and her blood pressure is 90/50 mmHg. She complains of feeling anxious and having stabbing chest pain which gets worse with inspiration. She complains that she feels like she is going to pass out or possibly die.

(Learning Objective 7)

a.      What could probably be going on with the patient and what measures should the nurse provide immediately?

b.     What risk factors does the patient have for pulmonary embolus?

c.      What measures are appropriate to manage pulmonary embolism?

d.     What measures are appropriate to help the patient in this case study prevent the reoccurence of pulmonary embolism?

Answer 1

a. Pulmonary embolism is the most common complication of gastric bypass surgery. These signs and symptoms suggesting that the patient is suffering from pulmonary embolism. As a nurse,she should inform the physician about patient condition,provide fowler's position, assess the patient using cardiac monitoring.

b. The risk factors includes

• Having surgery.
• Immobility due to surgery

c. The measures that are appropriate to manage pulmonary embolism are

• Getting regular exercise
• Moving the lower limbs while sitting
• Eating a healthy diet and drink plenty of fluids
• Getting out of bed and move around as much as possible
• Following up with a doctor

d. The patients shoul take appropriate measures to prevent the reoccurence of pulmonary embolism such as

• Use anticoagulants and thrombolytics according to physicians order
• Stop smoking
• Get fit
• Stay in motion