Post-Operative Low Grade Fever Essay Discussion Paper
Question
A 74-year-old man who underwent bowel resection surgery 2 days ago develops a low-grade fever and refuses to deep breath and cough because of incisional pain. The nurse auscultates his lung sounds and hears bilateral basilar crackles. Why might the patient have a low-grade fever and how should the nurse intervene?
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Step 1/2
Bilateral basilar crackling sound is heard at the base of lungs is heard when there is any kind of inflammation, or infection at any part of the body. Since the patient has undergone bowel resection therefore low grade fever is normal and may resolve within 2-3 days. If the low grade fever didn’t get resolved after 3 days, then the nurse should take some test and determine the causative agent of the fever. Administration of anti-pyretics as well anti-inflammatory drugs should be given to resolve the problem. Drinking plenty of water as well as oxygen therapy will also help in this condition.
Explanation:
Post operative fever of low grade is common because it is the mechanism of the body to cope up with the stress, and it gets resolve within few days.
Step 2/2
Bilateral basilar crackling sound is heard at the base of lungs is indicative of any inflammation and infection which prevails after the surgery. The administration of broad spectrum antibiotics is beneficial if the inflammation is caused by bacterial infection. Oxygen therapy is beneficial to make the airways patent. Sometimes inhalation of steroids is beneficial as it reduces the inflammation. Bronchodilator also helps in dilating the bronchioles and opens up the airways.
Explanation:
The nurse should administer antibiotics, bronchodilators, and inhalant steroid to reduce the inflammation. Oxygen therapy also seems to be beneficial.
Final answer
Post-operative low grade fever is common, and gets resolved after some times. If persistent fever is seen then the nurse should inform the higher authority and take the steps accordingly Post-Operative Low Grade Fever Essay Discussion Paper