Orthopedic Patient Information Sheet

Course in the intensive cover unit: The unhurried of was admitted at the ICU under the impression of septic reversal probably utility(prenominal) to intraabdominal infection; t/c abdominal compartment syndrome. The designing was to go ventilatory support, start empiric antibiotics, and possible surgery. At this time, the endurings crinkle pressure dropped further to 94/50 even with fluids. Heart rate was at one hundred forty crush per minute, respiratory rate at 30 breaths per minute, and a spotO2 of 80%. The patient still presented with icteric sclera, bibasal crackles, a dist nullifyed paunch with inactive bowel sounds. The patient too presented with oliguria. Positive air-pressure was provided for the patient. plot of ground on NPO, the patient was given over Tramadol for the pain and sedated with midazolam drip. A CT scan of the upper abdomen was through revealing: (1) livery ectasia with a gallstone at the distal end of the common bile duct (2) incisive pancr eatitis with possible abscess organization (3) a possible obstruction in the right urinary collecting system. Laboratory results already showed: fantastic levels of serum amylase and lipase which was at par with the radiograph results. The patient underwent an ERCP purpose with stenting, sphincterotomy and gallstone extraction.

Post-operative care was continued at the ICU. A plagiarize chest roentgenogram added the finding of a bilateral pneumonia to the antecedent radiographic impression. Piperacillin-Tazobactam was given for the pneumonia and Fluconazole for the nosocomial infection cultured from the endotracheal pipework aspirate. Since the patient was also in acute respirat ory failure, blood gases were serially monit! ored. Fluids and electrolytes were correct as necessary to assist the patient in providing for sufficient urine output and be physiologically balanced. Laboratory parameters were apply to guide the clinical management of the pancreatitis, which decided on the quaternate hospital day. Anemia was corrected with blood...

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