Anastomotic Leakage Case Study

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Problem 1: Anastomotic Leakage
Anastomotic leakage is not only one of the commonest postoperative problems after colostomy but also among the most serious problems. In most cases, this problem occurs 3 to 5 days postoperatively. Anastomotic leakage has a high prevalence and contribution to mortality. For example, anastomotic leakage accounts for about 2.9% to an alarming 15.3% of severe problems that are particular to intestinal surgery. As far as mortality is concerned, anastomotic leakage accounts for at least one third mortalities associated with colorectal surgery (Floodeen, 2016).
Mr. Peter Jones is in the third day of postoperative care. I have chosen anastomotic leakage as a postoperative problem likely to affect Mr. Peter Jones as
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Basically, this kind of stress is linked to a range of physical factors that include, but are not limited to discomfort, the body’s reaction to specific painkillers and antibiotics (Jestin, Påhlman, & Gunnarsson, 2008). Also, stress after surgery can occur because of psychological factors including facing death possibility (I. Syed, 2016). From the emotional point of view, post-operative stress can occur because of the patient’s disappointment in the likely results of the surgery and also due to his/her resulting feeling of fear and vulnerability. The signs and symptoms of post-operative are mainly manifested in reduced appetite, fatigue, mood swings, despair and …show more content…
Among the critical medications include diuretics, agents to cause vasodilatation and negative ionotropic agents (Rickert, Willeke, Kienle, & Post, 2009). However, care should be taken when administering these medications such that a physician should be consulted should the systolic blood pressure be less than 100mm Hg. Also, medications like opioid analgesics should be administered in a cautious manner. Also, give medications like sympathomimetics.

 The emergency cart should be available for cardiopulmonary resuscitation (Fulde, Preisz, & Berry, 2009).

 Frequent cardiovascular assessment is critical to detect the symptoms and signs inadequate tissue perfusion (Shandilya, 2013). These include cyanosis, cool skin, breath shortness, agitation, restlessness, decreased blood pressure, diminished peripheral pulses as well as the output level of urine.

 The client should have reduced activity in the cases where the severity and tolerance of dysrhythmia. Displayed reduce frequency of dysrhythmia.

Achieved set up in emergency

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