Two hours after an open cholecystectomy, a patient becomes r…
Two hours after an open cholecystectomy, a patient becomes restless and says, “I feel weird.” Skin is cool and clammy. The abdominal dressing shows a rapidly enlarging area of sanguineous drainage, and the Jackson-Pratt drain has filled with 200 mL of bright red fluid in the past 30 minutes. Vitals: BP 82/48 mm Hg, HR 128/min, RR 24/min, SpO₂ 93% on 2 L/min nasal cannula. Urine output in the last hour is 12 mL via Foley. What is the nurse’s immediate action?