Author Question: A patient was taken to surgery for a left lung resection earlier today The patient has been in ... (Read 47 times)

Destiiny22 · **on:** Jun 25, 2018

A patient was taken to surgery for a left lung resection earlier today

The patient has been in the postoperative care unit for 30 minutes. When you are completing your assessment, you notice that the chest tube has drained 125 cc of red fluid in the past 30 minutes. The nurse contacts the physician and suspects that the patient has developed

a. pulmonary edema.
b. hemorrhage.
c. acute lung failure.
d. bronchopleural fistula.

Question 2

Which of the following disorders is the leading cause of upper GI hemorrhage?

a. Stress ulcers
b. Peptic ulcers
c. Nonspecific erosive gastritis
d. Esophageal varices

underwood14 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

B
Hemorrhage is an early, life-threatening complication that can occur after a lung resection. It can result from bronchial or intercostal artery bleeding or disruption of a suture or clip around a pulmonary vessel. Excessive chest tube drainage can signal excessive bleeding. During the immediate postoperative period, chest tube drainage should be measured every 15 minutes; this frequency should be decreased as the patient stabilizes. If chest tube loss is greater than 100 mL/hr, fresh blood is noted, or a sudden increase in drainage occurs, hemorrhage should be suspected.

Answer to Question 2

B
Peptic ulcer disease (gastric and duodenal ulcers), resulting from the breakdown of the gastromucosal lining, is the leading cause of upper GI hemorrhage, accounting for approximately 21 of cases.