Your Perfect Assignment is Just a Click Away

We Write Custom Academic Papers

100% Original, Plagiarism Free, Customized to your instructions!

glass
pen
clip
papers
heaphones

 Surgery for Herniated DiscPatient ProfileJ.A., a 68-year-old female with a herniated lumbar disc at L4, is scheduled to have an L4 lumbar laminectomy using a posterior approach.

 Surgery for Herniated DiscPatient ProfileJ.A., a 68-year-old female with a herniated lumbar disc at L4, is scheduled to have an L4 lumbar laminectomy using a posterior approach.

 

Surgery for Herniated Disc

Patient Profile

J.A., a 68-year-old female with a herniated lumbar disc at L4, is scheduled to have an L4 lumbar laminectomy using a posterior approach. She has a history of low back pain, osteoarthritis in the left hip, and hypertension. She is taking the following medications:

  • Metoprolol (Lopressor) 50 mg PO BID; last dose last night
  • Ibuprofen (Motrin) 600 mg TID; last dose yesterday morning
  • Garlic supplement daily; last dose yesterday morning

Subjective Data

  • Has low back pain that radiates down her right leg
  • Has pain in left hip which worsens with activity
  • Has not had anything to eat or drink since midnight last night
  • Smokes one-half pack of cigarettes per day for past 47 years
  • States that she is allergic to sulfa and latex

Objective Data

Physical Examination

  • Blood pressure 140/82, pulse 84, temperature 98.6° F, respirations 20
  •  Height 5’ 5”, weight 195 lbs, BMI 32.4 kg/m2

Diagnostic Studies

  • ECG normal sinus rhythm
  • Lab values
    • Sodium               139.0 mEq/L
    • Potassium           3.4 mEq/L
    • HCO3                25.4 mEq/L
    • Chloride             99.5 mEq/L
    • BUN                  10 mg/dL
    • Creatinine           1.1 mg/dL
    • WBC                 7,000/µL
    • RBC                  4.3 million/µL
    • Hematocrit         36%
    • Hemoglobin        12 g/dL
    • Platelets              164,000/µL
    • Glucose              98 mg/dL

Discussion Questions

1. After reviewing J.A.’s chart with the above data, what information should the perioperative/circulating nurse make the operating room staff, surgeon, and anesthesia care provider aware of?

2. What position should J.A. be positioned in on the operating room table and what should be considered when positioning her for the surgical procedure?

3. Just prior to bringing J.A.to the operating room, the surgeon comes to talk to her and marks the surgical site. You then put a hair-cover over J.A.’s hair, similar to that worn by the rest of the operating room staff and hang the ordered preoperative IV antibiotic. What is the purpose of the surgeon marking the operative site, the hair cover, and the administration of the antibiotic on the way to the operating room?

4. What is involved in a surgical time-out?

5. What is the circulating nurse’s role in the operating room?

6. Describe a plan for J.A.’s anesthesia during surgery.

 

Order Solution Now

Our Service Charter

1. Professional & Expert Writers: Eminence Papers only hires the best. Our writers are specially selected and recruited, after which they undergo further training to perfect their skills for specialization purposes. Moreover, our writers are holders of masters and Ph.D. degrees. They have impressive academic records, besides being native English speakers.

2. Top Quality Papers: Our customers are always guaranteed of papers that exceed their expectations. All our writers have +5 years of experience. This implies that all papers are written by individuals who are experts in their fields. In addition, the quality team reviews all the papers before sending them to the customers.

3. Plagiarism-Free Papers: All papers provided by Eminence Papers are written from scratch. Appropriate referencing and citation of key information are followed. Plagiarism checkers are used by the Quality assurance team and our editors just to double-check that there are no instances of plagiarism.

4. Timely Delivery: Time wasted is equivalent to a failed dedication and commitment. Eminence Papers is known for timely delivery of any pending customer orders. Customers are well informed of the progress of their papers to ensure they keep track of what the writer is providing before the final draft is sent for grading.

5. Affordable Prices: Our prices are fairly structured to fit in all groups. Any customer willing to place their assignments with us can do so at very affordable prices. In addition, our customers enjoy regular discounts and bonuses.

6. 24/7 Customer Support: At Eminence Papers, we have put in place a team of experts who answer to all customer inquiries promptly. The best part is the ever-availability of the team. Customers can make inquiries anytime.