Rose
Anderson
,
37
,
is
currently
from
esophageal
suturing
,
cruroplasty
,
and
mediastinal
drainage
due
to
a
large
hiatal
hernia
.
Her
medical
history
dyslipidemia
,
a
20
-
year
smoking
history
,
and
previous
surgeries
,
including
a
C
-
section
and
foot
rhinoplasty
.
She
was
initially
with
complaints
of
regurgitation
for
20
years
,
dyspnea
on
exertion
,
and
recently
developed
postprandial
fullness
.
Currently
,
she
is
febrile
,
with
a
maximum
temperature
of
37
.
9°C
,
normotensive
,
and
mildly
tachycardic
,
with
a
heart
rate
of
70
to
111
bpm
.
,
she
is
an
enteral
diet
at
20
ml
/
h
,
ceftriaxone
,
metronidazole
,
and
prophylactic
enoxaparin
,
with
a
drain
output
of
100
ml
serohematic
fluid
.
Despite
the
fever
,
Rose
stable
,
ambulatory
,
and
has
improvement
in
her
abdominal
pain
,
with
no
respiratory
complaints
.
,
the
management
plan
maintaining
her
current
diet
and
antibiotics
,
continuing
motor
and
respiratory
physiotherapy
,
and
prophylaxis
for
venous
thromboembolism
.
,
it
is
crucial
to
closely
her
drain
output
and
strictly
avoid
blind
reinsertion
of
the
nasoenteral
tube
,
as
well
as
clear
guidance
and
support
throughout
her
recovery
.
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