At 0700, the nurse reviews Mr. B's postoperative-day-5 handoff. The record shows blood pressure 124/76 mm Hg and lactate 1.4 mmol/L, but overnight he developed temperature 38.6 C with heart rate 102/min. Yesterday the incision was intact and dry during the afternoon assessment, whereas it now has purulent yellow drainage saturating the current dressing. The abdomen remains soft without rigidity or crepitus, while the incision has erythema extending 5 cm with increasing incisional tenderness. Mr. B remains alert, tolerates a diet, and ambulates with assistance, but his WBC increased from 9.2 to 16.8 x 10^9/L with neutrophilia. The nurse confirms that postoperative prophylactic antibiotics stopped after incision closure and notes two loose staples at the newly draining lateral area. Mr. B has diabetes and obesity, and discharge had been planned for tomorrow.
上午0700，護理師檢閱了B先生術後第5天的交班報告。記錄顯示血壓124/76毫米汞柱，乳酸1.4毫莫耳/升，但夜間他出現了體溫38.6°C，心率102次/分。昨天下午評估時，切口完整且乾燥，而現在則有膿性黃色引流液浸濕了目前的敷料。腹部仍柔軟，無僵硬或捻髮音，而切口則有紅斑擴大5公分，切口壓痛增加。B先生保持警覺，飲食耐受良好，並在協助下下床活動，但他的白血球從9.2增加到16.8 x 10^9/L，合併嗜中性球增多。護理師確認術後預防性抗生素在切口關閉後已停止使用並注意到新引流的側邊區域有兩根鬆脫的釘書針。B先生患有糖尿病和肥胖症，原定於明天出院。