Question: Patient Profile 0 74 Yr Old Retired College Professor Has Just Decore Surgery For A Fractured Hip Ho Foliota Ladder While Panting Those EGS Medical History Nudes Type 2 Diabetes And COPD The Surgery, Done While He Was Under General Anesthesia, Lasted 3 Hours • Restory A Uterol 25 Mg Weet Every 4 Hours PAN For When Neurovascular Check The X 4 . Empty …

Patient Profile 0 74 yr old retired college professor has just decore surgery for a fractured Hip Ho foliota Ladder while panting those EGS medical history nudes type 2 diabetes and COPD The surgery, done while he was under general anesthesia, lasted 3 hours • Restory a uterol 25 mg weet every 4 hours PAN for when Neurovascular check the x 4 . Empty and measures conver collo Subjective Data Banana Soon – Active walker in his home community hostock • Smokes lack of cigarettes per day 18 years • Always had problems sleeping • Difficulty and wears bearing aid pset with jury and its impact on life Is a widower and has no relatives nearby or friends to assist with care Reports a Bona to 10 scale on arrival to PACU Discussion Questions 1. What are the potention the problems you may expect with an 2. Priority Decision What arity ringtone would be propriate to prevent these problems from coming 3 Collaboration: Which interventions could you decotto unicensed stive personne (AP) 4 What actors repose to the towing problem atletas SSL and VTE How would you determine Eucently recovered from general anesthesia to be discharged to the clinical ret? What potential postoperative problems on the court might you Objective Data Adered to PCU with abduction pillow between his legs one perch anal IV catheter, a self suction drain from the hip dressing an indwelling unnary catheter o saturation 91% on 40% O, face mask e Pahat basterprofessional Care Postoperative Orders • Vital signs per PACU routine Canitary blood glucose level on arrival and every 4 hours Call for blood lucose level 70 mal or >250 mg/dl Follow agency guidelines for management of hypoglycemia 0.45 normal saline at 100 ml/ha Morphine va patient controlled analgesia 1 mg 10min (20 mg max in 4 for Dan Advance dret as tolerated Incentive spirometry the x 10 while awake Otherapy to keep saturation >90% 7. What are nisk factors for his developing postoperativa delirium? What are the signs and symptoms of debrium 8. Why is drug toxicity a potential problem for EG? 9. Priority Decision Based on the assessment dat, ventily 3 prionty nursing diagnoses Are there any collaborative problems? 10 Evidence Based Practice: EG tells you he does not want the cath eter out because he does not want anyone to help him to the baths room. How would you respond to this request 11. Patient-Centered Care: What teaching will you provide so that EG can successfully selfmanage his care? 12 Collaboration: What referrals may be indicated based on EG’s med ical history? 13. Safety: Identify 2 areas of risk for injury to EG What actions can you take to ensure patient safety? 14. Quality Improvement: What outcomes would indicate that interpro lessional care with respiratory therapy was effective?