Mr. Raj Kumar is an 84 year old man with carcinoma of the stomach, who returned to the ward an hour ago following surgery for a total gastrectomy. He has Robinson’s drain in situ that is draining small amounts of blood-stained fluid, a urinary catheter on hourly measurements of urine output, and intravenous infusion of normal saline in progress. He is currently on half hourly observations of his vital signs and has been stable since his return from theatre.
Forty five minutes later, Mrs. Kumar asks you to check on her husband as she is worried about him. On examination, his pulse is rapid, weak, and thread, and he is breathless and hypotensive. His wound is oozing slightly, the Robinson’s drain is now full of blood-stained fluid and there is approximately 5ml of dark colored urine in the urometer. Answer the following questions:
1. What type of shock is Mr. Kumar likely to be experiencing?
2. Discuss the signs and symptoms that Mr. Kumar is experiencing.
3. Discuss the role of fluid therapy in managing Mr. Kumar’s condition.
4. Outline the immediate care that Mr. Kumar will require to prevent deterioration.
Your answers should be in a word document. Please follow instructions.
Select a disorder that affects the blood vessels of the heart. Define each part of the medical term, its origin, effects on the body, and treatment options. Your response should be at least 500 words in length for this question.