Lewis - healthy 15 yr old male with mild asthma and a congenital deformity of the chest (pectus excavatum)
What do you think is going on with this patient?
(everyone to answer)
Initial Assessment ( ~3 min)
Lewis - In hospital for elective surgery for pectus exacuvatum (chest wall repair) - 3 days post surgery, pain not well managed ... opioid via epidural, Toradol injection every 6 hrs. Pulse Ox keeps alarming.
Patient now complaining of excruciating abdominal pain (on a scale of 1 to 5 ... 5)
Patient now complaining of excruciating abdominal pain (on a scale of 1 to 5 ... 5)
Summary:
Lewis died November 7, 2000 (5 days after his elective surgery)
Lewis bled to death internally because of a perforated ulcer. His abdomen was filled with almost 3 liters of blood and digestive fluid.
Perforated ulcer was from administration of Toradol without enough fluids and urine output.
Lewis died November 7, 2000 (5 days after his elective surgery)
Lewis bled to death internally because of a perforated ulcer. His abdomen was filled with almost 3 liters of blood and digestive fluid.
Perforated ulcer was from administration of Toradol without enough fluids and urine output.
