Q1. What would be your next nursing actions?  Q2 Explain the pathophysiological changes that causes the patient fo be cold. clammy, and Sweaty   q3. identify and provide rationale for two (2) priority care for this patient?

3-2-1 Code It
6th Edition
ISBN:9781337660549
Author:GREEN
Publisher:GREEN
Chapter10: Cpt Anesthesia
Section: Chapter Questions
Problem 19MC
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.. A 3-year-old boy, Jessie Jarnes is admitted at 0700hrs for elective adenotonsillectomy on the morning of surgery. Apart from chronic symptoms relating to enlarged tonsils and adenoids

he is generally fit, well, alert and communicative

Medical history: He has had 2 previous anaesthetics at age of 2 and 3 years old for cautery of nose to treat epistaxis.

His mother was instructed that Jessie be nil by mouth (NBM) from 12midnight, but he has had nothing since 1830 his last night. He has been taken to the playroom. where he plays Nintendo with Captain Starlight

At 1045hrs Jessie's mother returns him to his room. He is drowsy, confused, cold, clammy, and sweaty. He lies curled up with severe abdominal pain. His mother rings the call bel for the nurse.

Q1. What would be your next nursing actions? 

Q2 Explain the pathophysiological changes that causes the patient fo be cold. clammy, and Sweaty  

q3. identify and provide rationale for two (2) priority care for this patient?  

Observation (PEWS):
TIME
HR
RR
SBP
T'C
AVPU
PEWS
0700
98 (0)
24 (0)
110 (0) 36.6 (0) Alert (0)
01
1045 110 (0) 32 (1)
110 (0) 35.5 (1) Pain (3)
5.
Transcribed Image Text:Observation (PEWS): TIME HR RR SBP T'C AVPU PEWS 0700 98 (0) 24 (0) 110 (0) 36.6 (0) Alert (0) 01 1045 110 (0) 32 (1) 110 (0) 35.5 (1) Pain (3) 5.
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