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Surgery for Herniated Disc
Patient Profile
J.A., a 68-year-old female with a herniated lumbar disc at L4, is scheduled to have an L4 lumbar laminectomy using a posterior approach. She has a history of low back pain, osteoarthritis in the left hip, and hypertension. She is taking the following medications:
Metoprolol (Lopressor) 50 mg PO BID; last dose last night
Ibuprofen (Motrin) 600 mg TID; last dose yesterday morning
Garlic supplement daily; last dose yesterday morning
Subjective Data
Has low back pain that radiates down her right leg
Has pain in left hip which worsens with activity
Has not had anything to eat or drink since midnight last night
Smokes one-half pack of cigarettes per day for past 47 years
States that she is allergic to sulfa and latex
Objective Data
Physical Examination
Blood pressure 140/82, pulse 84, temperature 98.6° F, respirations 20
Height 5’ 5”, weight 195 lbs, BMI 32.4 kg/m2
Diagnostic Studies
ECG normal sinus rhythm
Lab values
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