Mr. Jet was admitted to the emergency department following a motor vehicle accident, in which he sus. Question
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Mr. Jet was admitted to the emergency department following a motor vehicle accident, in which he sustained a lacerated liver with substantial bleeding and bilateral fractured femurs.
O/A to ED vitals (13:00hrs)
BP – 110/80 mmHg
HR – 126 per minute Sinus Tachycardia
RR – 28 BPM
SpO2 94% on non-rebreather 12 L O2/min
Current Vitals (14:05hrs)
BP 80/35 mmHg
HR 147 per minute Sinus Tachycardia
RR 32 BPM
SpO2 93% on non-rebreather 12L O2/min
Questions
2a. What is Mr Jets Mean arterial pressure (MAP) in each set of observations. 2 mark (1 mark per MAP)
2b. Discuss your interpretation of the Blood Pressure and Heart rate in the two sets of observations provided in relation to your understanding of circulatory shock. 3 marks (1.5 mark per vital sign)
2c. Discuss why measuring Mr Jet’s urine output would be useful in the context of the compensatory mechanisms associated with circulatory shock 2 marks
2d. An urgent medical review is requested, the attending doctor orders Adrenaline infusion to be commenced and 500 mL normal saline (NS) to be infused IV stat. What is the rationale for these orders? 3 marks (1.5 marks for adrenaline discussion and 1.5 marks for NS discussion)
SCIENCE
HEALTH SCIENCE
NURSING
NURSING NUM2409
Mr. Jet was admitted to the emergency department following a motor vehicle accident, in which he sus