Question
Answered step-by-step

VitalSim Scenario #3 Time: 07:00 a.m. 

Mr. Watkins is a 69-year-old male who had an emergency hemicolectomy for a perforated 

colon 3 days ago. He has a midline abdominal incision. He has a right forearm peripheral IV with D5½ Normal Saline infusing at 80 ml/hour. IVPB of Ancef was started at 06:45 a.m. and he has received his Hydrochlorothiazide tablets. His nasogatsric tube and Foley catheter 

were removed last evening. He is tolerating full liquids and voiding without difficulty. He 

was medicated with 2 Percocet tablets for pain at 6:00 a.m. The pain was rated as a "6" on a pain scale. 

Clinical signs immediately visible: 

• Alert and responsive

• Expressing pain

• Appears uncomfortable


ADDITIONAL INFORMATION, MEDICAL HISTORY

Patient data: Male -Age 69 years. Weight 176 pounds (80 kg).

Height 72 inches (1.82 meters)

DOB: 4/9/xx

MR#: PCS40900

Allergies: Penicillin (hives)

Prior medical history: Mr. Watkins is a retired postal service worker. He has a

history of cataracts, controlled hypertension. He smokes a ½

pack of filtered cigarettes a day, walks three miles a day and

enjoys doing yard work.

Recent medical history: Presented to Emergency Department three days ago with

complaints of nausea, vomiting, and severe abdominal pain.

He was admitted for emergent surgery for bowel perforation.


Patient Information 

Patient Name: Vernon Watkins 

Diagnosis: Perforated colon 

Type of operation: Hemicolectomy Height: 72 inches (1.82 meters) 

Consent obtained: Yes

Age: 69, Weight: 176 pounds (780 kg)

Gender: Male   

Diet: Soft advance as tolerated

Fall precautions: Yes 

 

Allergies: Penicillin (hives)


Monitoring: 

I&O and Vital signs 


Medication:

IV access - 18 g PIV in R forearm


IV fluid - DS½ Normal Saline at 80 ml/hour

Oral medication - Percocet 1-2 PO every 4 hours prn pain

Hydrochlorothiazide 25 mg a day


IV medication - Ancef 1 g IVPB every 8 hours


Respiratory:

Incentive spirometry -

02 - 2 l/min to keep Sp02 greater than 92%


Activity of daily living:

Compression stockings

Assisted Ambulate with abdom. binder 4 times a day


Question:1. Briefly define the patient's diagnosis

2. Explain the pathophysiology of the patient's diagnosis

3. Medication preparation: Please look up the medications listed in the physiqian order's for your clinical simulation. Items that must be included are:

a. Generic name of medication

b. Common trade name

c. Mechanism of action (how this drug works)

d. Side effects/Contraindications

e. Nursing assessments/interactions

f. If medications are IV medications give potential incompatibilities

Answer & Explanation
Verified Solved by verified expert

sum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lect

trices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit

Unlock full access to Course Hero

Explore over 16 million step-by-step answers from our library

Subscribe to view answer
Step-by-step explanation
26182238
lestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur lao
1 Attachment
explanation.png
png