{"id":540,"date":"2018-01-02T01:02:05","date_gmt":"2018-01-02T01:02:05","guid":{"rendered":"http:\/\/pressbooks.library.ryerson.ca\/vitalsign\/?post_type=chapter&#038;p=540"},"modified":"2018-02-07T23:40:42","modified_gmt":"2018-02-07T23:40:42","slug":"case-study-5-adolescent-client-continued","status":"publish","type":"chapter","link":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/chapter\/case-study-5-adolescent-client-continued\/","title":{"raw":"Case Study 5: Adolescent Client (continued)","rendered":"Case Study 5: Adolescent Client (continued)"},"content":{"raw":"<strong>1. After reviewing the vital sign record, identify the trends that you see.<\/strong>\r\n\r\nThe trends include a significant decrease in blood pressure, increase in pulse, and decrease in pulse force over 90 minutes. There is an increase in respiratory rate and a decrease in oxygen saturation. The temperature is slightly elevated, which is a common finding post-surgery. The temperature remained stable over the 90-minute period.\r\n\r\nThe changes in the above vital signs suggest hypovolemic shock, particularly in the context of recent abdominal surgery. Hypovolemic shock is a life-threatening condition that occurs with significant fluid loss such as blood. As part of diagnostic reasoning, healthcare providers recognize the indicators of hypovolemic shock as a decrease in blood pressure and an increase in pulse. The change in the respiratory rate is a compensating mechanism for blood loss and decreasing oxygen saturation: physiological factors stimulate increased respiratory rate to meet the oxygen demands of tissues as a result of decreasing blood pressure.\r\n\r\n<strong>2. What should the healthcare provider\u2019s next actions be?<\/strong>\r\n\r\nThis condition is a medical emergency that requires immediate intervention.\r\n<ul>\r\n \t<li>Notify the most responsible provider (if you are not the most responsible provider).<\/li>\r\n \t<li>Anticipate fluid rehydration and continue to monitor the client closely.<\/li>\r\n<\/ul>","rendered":"<p><strong>1. After reviewing the vital sign record, identify the trends that you see.<\/strong><\/p>\n<p>The trends include a significant decrease in blood pressure, increase in pulse, and decrease in pulse force over 90 minutes. There is an increase in respiratory rate and a decrease in oxygen saturation. The temperature is slightly elevated, which is a common finding post-surgery. The temperature remained stable over the 90-minute period.<\/p>\n<p>The changes in the above vital signs suggest hypovolemic shock, particularly in the context of recent abdominal surgery. Hypovolemic shock is a life-threatening condition that occurs with significant fluid loss such as blood. As part of diagnostic reasoning, healthcare providers recognize the indicators of hypovolemic shock as a decrease in blood pressure and an increase in pulse. The change in the respiratory rate is a compensating mechanism for blood loss and decreasing oxygen saturation: physiological factors stimulate increased respiratory rate to meet the oxygen demands of tissues as a result of decreasing blood pressure.<\/p>\n<p><strong>2. What should the healthcare provider\u2019s next actions be?<\/strong><\/p>\n<p>This condition is a medical emergency that requires immediate intervention.<\/p>\n<ul>\n<li>Notify the most responsible provider (if you are not the most responsible provider).<\/li>\n<li>Anticipate fluid rehydration and continue to monitor the client closely.<\/li>\n<\/ul>\n","protected":false},"author":36,"menu_order":20,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-540","chapter","type-chapter","status-publish","hentry"],"part":487,"_links":{"self":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/chapters\/540","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/wp\/v2\/users\/36"}],"version-history":[{"count":5,"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/chapters\/540\/revisions"}],"predecessor-version":[{"id":1002,"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/chapters\/540\/revisions\/1002"}],"part":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/parts\/487"}],"metadata":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/chapters\/540\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/wp\/v2\/media?parent=540"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/pressbooks\/v2\/chapter-type?post=540"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/wp\/v2\/contributor?post=540"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.library.torontomu.ca\/vitalsign\/wp-json\/wp\/v2\/license?post=540"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}