CASE STUDY #3 A 30 year old male was admitted following a motor… CAS
CASE STUDY #3 A 30 year old male was admitted following a motor… CASE STUDY #3A 30 year old male was admitted following a motor vehicle crash. He had a forehead bruise and laceration, was slumped over the steering wheel and had an open wound of the right upper leg. He was obtunded but aroused to his name. He was hypotensive at the scene and was transported to an acute care facility with oxygen, spine and right leg immobilization and IV normal saline infusion. 1. What injuries would you suspect with this client?Blood loss causing hypovolemia. Head injury or head trauma. Potentially a cervical spinal fracture as they immobilized the site. Potentially a right leg fracture. 2. What fluids, electrolytes and/or acid base disturbances would you suspect?Lower respiratory rate from the head injury can cause respiratory acidosis and he lost blood so fluid volume deficit. Potentially if the blood loss was enough the patient could be hyponatremic. The patient was admitted and emergency surgery where his spleen wasremoved. He received multiple blood transfusions and was transferred to theunit after awakening. Orders included ?O2 via nasal cannula at 5 L/min., ?Hourly v.s. and neuro checks until stable?spine precautions?IV of D5W0.45NS at 100 cc/hr. 1. What electrolyte and acid base disturbances does the nurse need to be alertfor when a client receives multiple blood transfusions?Fluid volume overload. 2. What other nursing responsibilities will the nurse need to implement for thisclient? Health Science Science Nursing NU 345 Share EmailCopy link Comments (0)
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