Nursing management for patient-post surgery

Case study Kylie Melville is a 47 year old female who has a history of ‘not being able to breathe well through her nose’, and this disrupts her sleep. Kylie also states that if she exercises or exerts herself, she ‘cannot get enough air in’ and has to mouth-breathe, using breathing techniques to take deep, slow breaths to stabilise her breathing pattern, so that she does not go dizzy. Kylie has a history of sensitivity to codeine (which causes nausea, dizziness, temperature flushes and malaise), is not on any medication, and has no other medical conditions. After review by the specialist ENT surgeon, it was arranged for Kylie to undergo surgery for a septoplasty and right ethmoidectomy. On arrival pre-operatively Kylie’s observations were: T-36.7oC, HR-74bpm, RR-18pm, BP- 121/71mmHg, O2-94% RA You are a student nurse looking after Kylie since her return to the ward post-operatively at 10:30hrs. IV Compound Sodium Lactate 1L is running at 6/24 rate into Kylie’s left arm. Kylie’s anaesthetist has prescribed Paracetamol 1g IV/PO 6 hourly, Celecoxib 200mg PO BD, and Tramadol SR 100mg PO BD prn, bung IVT when current bag completed. She is awake and alert, and has a nasal bolster under her nose, with moderate sanguineous ooze. Kylie’s RTW observations were: T-36.1oC, HR-75bpm, RR-19pm, BP-107/70mmHg, O2-91% RA, and pain score 2/10. Assume nothing, if data is not stated, you should state that it is not known or information has not been provided, and ​‌‌‌‌‍‌‍‌‍‌‌‌‍‌‍‌‍‍‌​advise what actions you would take. Students are required to research and write a case study essay with headings, directly relating to the above scenario. Using the nursing process, outline the nursing management for the patient post-surgery, discussing all care in general, but focussing on the two (2) prioritised nursing diagnosis/ problems. As well as NCS2101 Adult Health 7 the information in the Unit Plan, please review modules in the Learning Materials content tab on BB; as well as the Assessments content tab on BB for further information about the assessment.