Nursing care of patient with shock from hemothorax and hemoperitoneum : a case study

Abstract

     This study was case study aimed to study Nursing care of patient with shock from hemothorax and hemoperitoneum. Thai male patient, age 21 years old was transferred from Wang Muang Hospital and was then admitted for treatment on 16 October 2023 with abdominal pain. There was an abrasion on the chest 2 hour before coming to the hospital. First admission, the patient is breathing rapidly. Restless, pale, cold hands and feet, abdominal pain on the right side with guarding.
     Results: The surgeon diagnosed Blunt abdominal injury with right lung pneumo-hemothorax and performed CT whole abdomen and found Liver injury gr.3 with large hemoperitoneum set OR. The patient received Explore lap suture liver surgery with perihepatic packing and was inserted with a chest drain on the right lung. After surgery, receiving blood and blood components. The nurse closely observed the patient's condition, put on a volume-controlled ventilator 48 hours after surgery, explored lap with off swab packing. The patient was no blood in the abdominal cavity. The patient's symptoms improved and was no complications, including delayed hemorrhage and suppurative infection in the abdominal cavity. From the blood results, the liver function result was normal. From the x-ray results, the lungs improved. The chest drain and endotracheal tube was removed. The patient's general condition improved and was able to help himself was then discharged on 28 October 2023, Totaling of hospital admission for 13 days.