SOLVED456

A 24 yr old male patient was struck on the front passenger`s side of a large truck intrusion into the vehicle. Patient had right rib fractures, grade 2 liver laceration, T11 T12 compression fractures, right ulnar shaft fracture and a right pilon fracture. Pain is aggravated by movement and alleviated by rest and medication – WBC 13.8↑ – BUN 4↓ – Hgb 12.6↓ – Hct 37.7↓ – Glucose 123↑ – Sodium 136 ↓ – Grade 2 Lacerated liver – T11, T12 compression Fracture – Multiple right rib fractures The worst-case scenarios that could potentially happen during your shift include: Hemorrhagic shock: This could be due to the liver laceration or multiple rib fractures. The liver is a highly vascular organ and any laceration can lead to significant blood loss. Rib fractures can also cause internal bleeding if they puncture lung tissue or blood vessels. Respiratory failure: The rib fractures and T11, T12 compression fractures could potentially affect the patient’s ability to breathe effectively. Sepsis: The elevated WBC count could indicate an infection, which could lead to sepsis if not treated promptly. What assessment techniques and data monitoring will you do to identify if any of the above identified potential complications are starting to occur?
SCIENCE
HEALTH SCIENCE
NURSING

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