Case Study
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CASE STUDY THYROIDECTOMY
SUBMITTED TO: MR. JIMMY N. TORRES
SUBMITTED BY: ALPHA C. PALO
General Post-op Patient: •
encourage deep breathing and coughing
•
encourage turning
•
progressive oral diet as tolerated (bowel sounds present and no nausea or vomiting)
Thyroidectomy: •
pain medication prn
•
Vital signs q4h
•
keep in high Fowler's position
•
report any difficulty speaking
•
keep a tracheotomy tray at the bedside for the first 24 hours after surgery
•
if drainage area enlarges reinforce the dressing until I come to do the first dressing change
•
measure all drainage from drains
•
Report any excess bleeding
•
assess for Chvostek's and Trousseau's signs q shift and report any positive findings
•
report to me if any of the following signs and symptoms of thyroid storm occur suddenly: fever, sweating, tachycardia, tremors and restlessness
SUBMITTED TO: MR. JIMMY N. TORRES
SUBMITTED BY: ALPHA C. PALO
General Post-op Patient: •
encourage deep breathing and coughing
•
encourage turning
•
progressive oral diet as tolerated (bowel sounds present and no nausea or vomiting)
Thyroidectomy: •
pain medication prn
•
Vital signs q4h
•
keep in high Fowler's position
•
report any difficulty speaking
•
keep a tracheotomy tray at the bedside for the first 24 hours after surgery
•
if drainage area enlarges reinforce the dressing until I come to do the first dressing change
•
measure all drainage from drains
•
Report any excess bleeding
•
assess for Chvostek's and Trousseau's signs q shift and report any positive findings
•
report to me if any of the following signs and symptoms of thyroid storm occur suddenly: fever, sweating, tachycardia, tremors and restlessness
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