I fear it might be peritonitis or bleed. Suggest immediate evaluation, abdominal CT, increased IV fluids, and broader antibiotic coverage.
This is nurse Johnson on the surgical unit. Calling about Mr. Davis, 6 hours post-appendectomy, with severe pain and worsening vitals.
Post-op Day 0 from appendectomy 6 hrs ago. History of HTN, takes lisinopril. Received morphine 4mg IV 2 hours ago with minimal relief.
Pain is 9/10, abdomen rigid/distended, restless. Vitals: HR 115, BP 90/58, RR 24, Temp 101.2 F Bowel sounds absent.