NURSING 3
Nursing priorities:
1. Nerve pain post op (Patient controlled analgesia)- monitor vitals for signs of local anaesthetic
toxicity: The mentioned intervention can be implemented for the 71-year-old lady where these
prescription pain medications can be used to limit the pain signals sent to the brain. In case of the
patient monitoring the vital signs is a prime intervention to be undertaken during the course of
anaesthetic toxicity, it becomes important to monitor the vital signs. In addition to that Chung et
al. (2015), provided study that states pulmonary embolism of lower extremity is at high risk of
developing problem in breathing and even venous thrombosis. Low dose epinephrine can help in
reducing the levels of toxicity and even cardiovascular collapse
Additionally, the patient has a severe history of lupus that may degrade her health
condition. A research conducted by Pasquina, Carvalho & Sheehan (2015), pointed out the fact
that surgery can cause Lupus flare or further complications if surgery is performed during the
flare. Thus, it becomes important to understand the fact and condition related to pulmonary
embolism and even lupus to prevent negative response to the analgesia
2. vte prophylaxis: VTE prophylaxis can be termed as one of the greatest ways to diminish the
risk related to pulmonary embolism (Jensen et al. 2018). Thus, the mentioned mode of
prophylaxis is of prime importance. Amputation in the lower extremity is often accompanied by
high rates of mortality due to events of sepsis. In addition to that the patient is exposed to
respiratory issues due to pulmonary embolism. Hence, it can be stated VTE substantially
contribute to the rates of mortality and even morbidity after amputation of limb
3. Pressure area care: After the event of amputation the lady is subjected to rest; prolonged event
of rest can lead to problems. The patient is limited to wheelchair and thus the chances of

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Nursing Priorities Case Study 2022

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