Question PATIENT: SMUTH, SARAH ACCOUNT/EHR #: SMUTSA001 DATE: 07/16/21… PATIENT
Question PATIENT: SMUTH, SARAH ACCOUNT/EHR #: SMUTSA001 DATE: 07/16/21… PATIENT: SMUTH, SARAHACCOUNT/EHR #: SMUTSA001DATE: 07/16/21Attending Physician: Renee O. Bracker, MD Sarah Smuth, a 52-year-old female, underwent total knee replacement surgery 5 days ago. Patient is alert and oriented, but began to complain of chest pain and dyspnea 3 days after surgery. Laboratory tests reveal a WBC of 15, HR: 101, R: 20 and shallow, P: 56, BP: 135/85, T: 98.9 F, SpO2 is 95% receiving oxygen via nasal cannula at 2 Lpm. VS have remained stable. Diminished sounds and fine crackles are noted on auscultation. Post-op day 3CXR confirms atelectasis; pneumonia is ruled out. Post-op day 4patient has not improved; a repeat CXR shows no improvement of atelectasis and a bronchoscopy was performed and mucus plugs were removed. Post-op day 5patient begins to show improvement and full resolution is expected. A: Atelectasis, post-op complicationP: Albuterol nebulizer every 4 hours and prnDeep breathing exercises and coughing. Monitor via continuous capnography.ROB/pw D: 07/16/21 09:50:16 T: 07/18/21 12:55:01 Health Science Science Nursing HIM 140 Share QuestionEmailCopy link Comments (0)
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