B

Ellayza Rb D. Operaña Sec:________

Name: ____________________________ 09/13/2022
Score:____/48 Date: ____________

Case Study 3
Tonsillitis

In the Patient’s Chart

History of Present Illness: M.K. is a 20 year old female presenting to her physician, complaining
of sore throat and cough. She has had some hoarseness in her voice over the past few days and
subjective sweats but no documented fever. She has a history of quinsy at least twice last year.
Upon review of systems, she complains of isolated throat pain, without any rhinorrhea, sinus
pressure, or headache. She has been taking her temperature at home, and they have fluctuated
from 97.8oF- 99.2oF.

During care:
Other diagnostic test: ECG and Chest X-ray received and charted, which cleared her for surgery.
Her latest prothrombin time was taken in to which reads 17 seconds.

She was admitted and eventually was scheduled for tonsillectomy. At 8am after your initial
rounds you initiated to complete her preoperative checklist and had an interview with her. At
the time you also administered her preoperative medication of atropine sulfate and nalbuphine
hydrochloride.

After the interview you prayed with her and she was brought to operating room 1 at 845am
per wheelchair.
Please complete the preoperative checklist (28 points) and answer the questions below.
1. What are her preoperative medications for? (10 points)

Her preoperative medication are atropine sulfate and nalbuphine

hydrochloride. In which atropine sulfate is to decrease mucus secretions,
such as saliva. While nalbuphine hydrochloride is to relieve moderate to
severe pain.

2. Is there a reason for her surgery not to push through? If YES, what is it and why?
If no, then just write “NO” below. (10 points)

Indeed, the medical procedure won't go on since the patient's prothrombin

time is 17 seconds. This test is utilized to decide if a client is in danger of
dying, and a consequence of 11 to 13.5 seconds is viewed as ordinary. This
proposes that she is in danger of draining since her blood isn't thickening
typically. Draining is one justification for why a tonsillectomy isn't
encouraged.
 EDO
EDO
EDO
EDO
EDO
EDO

EDO
EDO
EDO

EDO
110/76
37.2
115 bpm
18 bpm

NA
✓ 09/11/2022

Atropine Sulfate 8:00 AM EDO

Nalbuphine Hydrochloride 8:00 AM

EDO
8:45 AM Wheelchair
EDO

Ellayza Rb D. Operana