Taking a Look at Cardiovascular Disorders

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Cardiovascular Disorders A 60-year-old male, 5 days post laparoscopic cholecystectomy, is getting ready to be discharged today and is going through the final assessment. When the assessment takes place, the nurse finds that patient has a pulse of a 110 beats per minute and irregular compared to his normal 86-90 beats per minute with a regular pulse that the patient has been having since post-surgery.
Pulse
Since post-surgery, there has been an increase in patient’s pulse rate to110 beats/minute and the pulse is now irregular. This fact should raise a red flag. This finding would be documented after the nurse retakes the pulse to make sure that there was not an error. The nurse should call the physician immediately to inform him/her of the findings and get further instruction as to how to proceed with patient care.
Significance of an irregular pulse
The irregular pulse can show problems with the heart and its functions. It can be a sign of heart disease such as dysrhythmia. “Some dysrhythmias may be asymptomatic while others can cause death. The danger and symptoms depend on the extent that they reduce cardiac output.” (Story, 2012)
Assessment for post laparoscopic cholecystectomy.
The key components for a patient with five days post laparoscopic cholecystectomy is to do a physical assessment, monitor the patient’s vital signs and look for any abnormalities such as high fever, pain, abnormal heart rate, high blood pressure. Bowel movements have to be monitored to make
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