She is a smoker and opioid drug user with a history of chronic depression, Crohn’s disease with ileostomy formed 12 years ago.
Her vital signs were stable and no complication after the operation, however, recently her condition has deteriorated. Jane has excessive vaginal bleeding of more than 300ml (bright red colour) along with decreased in all vital signs. Jane’s blood pressure has dropped to 108/75mmHg, heart rate is 70bpm, Oxygen saturation is 96% on nasal prongs at 2L, respiratory rate 26bpm with pain score Groaning/guarding. Her temperature raised to 37.2 ° C with Glasgow Coma Scale of 13. Jane’s urine output is less than expected