The patient was discharged from mother baby.At that time, her incision had seroma behind it that was leaking and required a pico dressing.When the patient returned to visit her newborn in the neo-natal icu, she noticed that her pico dressing had become completely saturated and the battery pack had become disconnected from the dressing.The patient went immediately to the obstetrics emergency department.Physician performed a "wound exploration" and applied a new pico dressing.The patient was given a spare pico dressing set to have on hand in case the current dressing needed replacing prior to her obgyn removing it in 10 days.The patient was to be an outpatient, however, she was unable to maintain her o2 saturation without at least 4l/nc of o2.On admit to mother baby as an observation patient, she required 10l of o2 to maintain an oxygen saturation of > 94%.The patient also had ongoing hypertension.The patient did report that she had recently quit smoking prior to this admission and had not continued to use the incentive spirometer after discharge.
|