Stan Jordan is a 64 year married man. Stan has been admitted to hospital for a laparoscopic cholecystectomy following a 6 month history of symptomatic cholecystitis. Initial attempts to remove the gall bladder via laparoscopic cholecystectomy proved difficult due to severe adhesions. The surgeon Dr. Katter proceeded to remove the gall bladder via an open cholecystectomy. Stan is transferred to recovery room where morphine using a Patient Controlled Analgesia (PCA) via a syringe pump is commenced as ordered by the anaesthetist. The client also has a peripheral IV line with Sodium Chloride 0.9% infusing. Stan returns to the ward where his initial postoperative observations were satisfactory.
Pulse 86bpm, BP 142/78, Temp 37 º RR 18. 30 minutes later another set of postoperative observations are attended. His observations are as follows:
Pulse 110 bpm
Blood pressure - 155/96
Temperature - 37.6º
Respiratory rate - 22
Stan states his pain is increasing and he is becoming noticeably anxious.
- As you are attending to Stan’s 30 minutely vital signs you note the change in them. Outline the possible reasons and rationale for the altered vital signs
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