case study: peter bowman is a 39 year old plumber who has just been brought to the emergency department by ambulance after a fall from his roof.
An x-ray has revealed a fractured left femur and fractures to this left second and fourth ribs. He has no other significant injuries. He did not hit his head and there was no loss of consciousness at the scene. the following assessment data is available:
B-respiratory rate 24 and shaloow, bilateral chest expansion, equal air entry
c-pale, not diaphoteric, left foot cool and pale
Dalert and oriented to time place and person. Pain 7/10 left leg and 8/10 left side of chest
E-swelling and bruising to the left leg, razes to the bck, left elbow and forehead, 20 gauge intravenous cannula (IVC) insitu left cubital fossa, 18 gauge IVC insitu right hand.
observations: HR 120, BP 100/60, RR24, Sp0290% on room air, temp 36.2, Blood sugar 5.2mmol
The emergency registrar has conducted an initial assessment of peter and provided the following orders:
Insert indwelling urinary catheter (IDC) and record hourly urine measures, 0.9% sodium chloride 1LIV over 30 mins, oxygen to keep SpO2 above 96%, sit in high folwer’s position and morphine 7.5mg IV STAT.
Discuss you interpretation of Peter’s assessment findingd and your subsequent nursing management. In addition to an introduction and concluion, your paper should include the following sections:
it is important the registered nurses understand the disruptions to normal physiology that cause the abnormal assessment findings we observe in the clinical setting. the information provided in the scenario should includes a number of abnormal assessment findings. This section requires you to
-discuss the underlying pathophysiology of peters injuries (fractures femur and fractured ribs) by explaining the disruptions to normal physiology that have caused the abnormal assessment findings in the case study.
the clinical scenario includes a number of orders or nursing interventions. In order to maintain patient safety and achieve the best clinical outcomes for Peter, it is important that these interventions are prioritized appropriately. It is also essential for registered nurses to understand how the interventions we provide are linked to the underlying pahtophysiology of patients condition. This section of the report requires you to
-prioritize the orders provided in the order of clinical urgency
-provide a rationale for each intervention listed in the case study. each rationale should include an explanation of why you have prioritized the intervention in that order and an explanation of how the intervention will improve peters condition based on the underlying pathophysiology you have already discussed.