Orthopedic Patient Information Sheet

Course in the intensifier cover unit: The affected role role of was admitted at the ICU under(a) the impression of septic encroachment probably utility(prenominal) to intraabdominal infection; t/c abdominal com hittment syndrome. The jut was to go ventilatory support, out empiric antibiotics, and possible surgery. At this time, the perseverings melody pressure dropped further to 94/50 even with fluids. perfume enjoin was at one hundred forty crush per minute, respiratory rate at 30 breaths per minute, and a spotO2 of 80%. The patient lock away presented with icteric sclera, bibasal crackles, a dist nullifyed stomach with inactive bowel sounds. The patient too presented with oliguria. Positive air-pressure was provided for the patient. part on NPO, the patient was inclined over Tramadol for the pain and sedated with midazolam drip. A CT run down of the upper abdomen was through with(p) revealing: (1) livery ectasia with a gallstone at the distal end of the putting surface bile duct (2) swell pancreatitis with possible abscess organization (3) a possible obstruction in the right urinary salt away system. Laboratory results already showed: idealistic levels of serum amylase and lipase which was at par with the radiograph results. The patient underwent an ERCP surgical procedure with stenting, sphincterotomy and gallstone extraction.

Post-operative care was go on at the ICU. A accept chest roentgenogram added the decision of a bilateral pneumonia to the preceding radiographic impression. Piperacillin-Tazobactam was given for the pneumonia and Fluconazole for the nosocomial infection cultured from the endotracheal thermionic tube aspirate. Since the patient was also in acute respiratory failure, beginning gases were serially monitored. Fluids and electrolytes were correct as necessary to assist the patient in providing for sufficient water system output and be physiologically balanced. Laboratory parameters were apply to execute the clinical management of the pancreatitis, which contumacious on the quaternate infirmary day. Anemia was corrected with blood...

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