Perioperative Nursing - Essay Example

Download file to see previous pages The surgery involved the use of a special surgical tool kit of the series ''Mini-assistant'' designed by the company Liga-7 and there was a use of the "mini-laparotomy approach" to avoid neither the surgeon's hand nor even his finger to enter the abdominal cavity. The postoperative period apart from the complication,was smooth as in this case an additional procedure had been added to cholecystectomy. There were no major technical problems and it is felt that good cosmetic results were achieved. The Case study is discussed in the context of the medical reaction during the combined surgical operations and has has important perioperative nursing implications.
This case study pertains to the discipline of perioperative nursing and involves the coverage of a patient experience through a nursing perspective from the time of being admitted to the hospital to the time of recovery in the context of laparoscopic cholecystectomy .It relates to a Patient,(hereafter referred to as X) whose experience of laparoscopic cholecystectomy (lap-chole)will be followed in this case study.It is worth mentioning at the outset that generally at the hospital this patient has been brought to patients registering for lap chole .Today in many hospitals like the hospital in question the general practice is that nurses have little contact with patients prior to and after surgery and thus the aim of this case study is to show the perceptions of both the patient and the nurse in this type of perioperative care.
Aim of the case study
to recognise and interpret the various needs and symptoms of the patient diagnosed with methemoglobinemia
the need for the rapid recognition, confirmation, and treatment
The development, diagnosis, and management of a 61-year-old male scheduled for a laparoscopic cholecystectomy who suffered from methemoglobinemia after benzocaine was administered to him.This procedure was used along with a mini laprotomy which was later found more advantageous to laparoscopy.
Definitions
Methemoglobinemia can possibly develop after the misuse of the local anaesthesia for intubation can bring about fatal consequences as it will subsequently hinder the ability of the hemoglobin to transport oxygen and carbon dioxide,which can lead to tissue hypoxemia.Thus the example of the 61 year old patient here involves the management and assessment of this condition.
The Case Study
The patient (X) is a 63-year-old male and was admitted after suffering from severe pains in the abdomen which had continued at regular intervals since the past many days with the pain getting worse mainly located with in the upper abdomen.Emergency medication by the nursing group relieved that patient from the pain and there was no further complaint of nausea.
Later on with in a few hours he was taken to the ultrasound room where it was seen that there was a growth and a slight thickening in the gall bladder wall but there was no ductal dilation on the face of it.The MRI however revealed that there were gallstones in the outside portion of the gallbladder.
Further evaluation of the bile ducts revealed no filling defect and he was later admitted for laparoscopic chol ...Download file to see next pagesRead More