Terrell Wells, a 26-year-old man who fell 50 feet from a chairlift while skiing and landed...
Terrell Wells, a 26-year-old man who fell 50 feet from a chairlift while skiing and landed on hard-packed snow. He was found to have to have a C6-7 fracture with paraplegia. He was taken to surgery 48 hours postaccident for spinal stabilization. He spent 2 additional days in the SICU, and is being transferred to the transition unit. The following vital signs: temperature, 100°F; blood pressure, 92/68 mm Hg; heart rate, 100 bpm; respiratory rate, 20 breaths/min. (Learning Objective 1, 2,4,5)
- What is the explanation for the patients vital signs? (2.5 points)
Homework Answers
The vital signs indicates the patient is in a state of hypotension and having fever can be a sign of infection post surgery .The rise in temperature has lead to increased heart rate.The hypothalamus slters whem there is a fall causing a temperature changes. The temperature is due to thermo dysregulations which can be an early sign of autonomic dysfunction and can be fatal. This type of fever is termed to be neurogenic fever.The autonomic dysreflexia can result in hypotension.
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Terrell Wells, a 26-year-old man who fell 50 feet from a
chairlift while skiing and landed...
Terrell Wells, a 26-year-old man who fell 50 feet from a chairlift while skiing and landed...
Terrell Wells, a 26-year-old man who fell 50 feet from a chairlift while skiing and landed on hard-packed snow. He was found to have to have a C6-7 fracture with paraplegia. He was taken to surgery 48 hours postaccident for spinal stabilization. He spent 2 additional days in the SICU, and is being transferred to the transition unit. The following vital signs: temperature, 100°F; blood pressure, 92/68 mm Hg; heart rate, 100 bpm; respiratory rate, 20 breaths/min. (Learning Objective 1,...
Terrell Wells, a 22-year-old man who fell 50 feet from a chairlift while skiing and landed...
Terrell Wells, a 22-year-old man who fell 50 feet from a chairlift while skiing and landed on hard-packed snow. He was found to have to have a T10-11 fracture with paraplegia. He was taken to surgery 48 hours postaccident for spinal stabilization. He spent 2 additional days in the SICU, and is being transferred to the transition unit. The following vital signs: temperature, 100°F; blood pressure, 92/68 mm Hg; heart rate, 100 bpm; respiratory rate, 20 breaths/min. (Learning Objective 1,...
Scenario TW. is a 22-year-old is now at the emergency department (ED) with a suspected T5-T6...
Scenario TW. is a 22-year-old is now at the emergency department (ED) with a suspected T5-T6 fracture with paraplegia. Iman who fell 50 feet froma chairlift while skiing and landed on hard-packed snow. He Chart View Physician's Orders Insert Foley catheter ECG monitoring Immobilize the cervical spine Oxygen at 4 L per nasal cannula Initiate two large bore IVs Neurologic assessment every hour Apply warming blankets as needed 1. Describe a plan for implementing these physician's orders 2. What are...
Femur and Humerus Fracture K.B. is a 16-year-old, weighing 64 kg, who fell while skiing. She...
Femur and Humerus Fracture K.B. is a 16-year-old, weighing 64 kg, who fell while skiing. She briefly lost consciousness but is now alert and oriented. She was transported down the hill by the ski patrol after being stabilized and then was flown to the hospital. She has a fractured right femur and humerus. She will be admitted to your unit after an open reduction and internal fixation (ORIF) of the femur fracture and casting of her leg and arm. 1....
Brief Patient History Mr. P is a 24-year-old man who was water-skiing when he was hit...
Brief Patient History Mr. P is a 24-year-old man who was water-skiing when he was hit by a boat. He was rescued from the water by friends. He was immobilized and transported to the hospital by paramedics called to the scene. Clinical Assessment Mr. P is admitted to the emergency department with abrasions and bruising to his head and shoulders. He is having difficulty breathing and is unable to move his extremities. He is complaining of neck pain and has...
2. Conrad Jackson is a 28-year-old man who presents to the emergency department with severe fatigue...
2. Conrad Jackson is a 28-year-old man who presents to the emergency department with severe fatigue and dehydration secondary to a 4-day history of vomiting. During the interview, he describes attending a family reunion and states that perhaps he "ate something bad." Upon admission his vital signs are a temperature of 102.7°F, heart rate of 116 bpm, respiratory rate of 18 breaths/min, and blood pressure of 86/54 mm Hg. The nurse also notes the patient has dry mucous membranes and...
Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after...
Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment Within 24 hours...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive...
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment...
Scenario TW. is a 22-year-old is now at the emergency department (ED) with a suspected T5-T6 fracture with paraplegia. Iman who fell 50 feet froma chairlift while skiing and landed on hard-packed snow. He Chart View Physician's Orders Insert Foley catheter ECG monitoring Immobilize the cervical spine Oxygen at 4 L per nasal cannula Initiate two large bore IVs Neurologic assessment every hour Apply warming blankets as needed 1. Describe a plan for implementing these physician's orders 2. What are...
2. Conrad Jackson is a 28-year-old man who presents to the emergency department with severe fatigue and dehydration secondary to a 4-day history of vomiting. During the interview, he describes attending a family reunion and states that perhaps he "ate something bad." Upon admission his vital signs are a temperature of 102.7°F, heart rate of 116 bpm, respiratory rate of 18 breaths/min, and blood pressure of 86/54 mm Hg. The nurse also notes the patient has dry mucous membranes and...
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