Mrs Chan is found lying at the bottom of her stairs by her daughter…
Question Answered step-by-step Mrs Chan is found lying at the bottom of her stairs by her daughter… Mrs Chan is found lying at the bottom of her stairs by her daughter at 09:00 on 14/06/2016. Mrs Chan is dressed in a nightgown; the last thing she remembers is rushing to the toilet at about 10pm. She has no memory of falling, she recalls “waking up” on the floor feeling cold because she was incontinent and her night gown was wet. She was unable to get up due to a penetrating wound to her left leg from falling on a glass coffee table that has broken and become embedded in her upper thigh. She also has pain in her hip and pelvis. Her right leg is shorter than the left and it is internally rotated.Mrs Chan’s past medical history includes:· Urinary incontinence· Osteoporosis· Compression fractures to her spine due osteoporosis· Chronic painRegular medications:· Fosamax· Vitamin D· Calcium· Fentanyl patch· PRN endonea. List the specific assessments that would assist you to evaluate her penetrating injury.a) Complete the ADDS score for each vital sign recorded at 06:30 in the table below, then total the ADDS score. ADDS ScoreRespiratory Rate1O2 Saturation0O2 Flow Rate2Systolic BP0Heart Rate0Temperature24 Hour Urine Output0Consciousness0Total ADDS5 b) List the abnormal signs and then describe the abnormality using correct terminology.Scenario – Further InformationMrs Chan is seen by the doctor, who documents her assessment as follows:· 82 year old lady with confusion and hyperthermia.· Air entry R=L no adventitious sounds.· Large laceration to her right thigh, glass remains imbedded in the wound.· Right leg has obvious bone deformity – requires further investigation to evaluate possible fractures.A chest, abdominal, pelvis and hip X-ray are to be completed. Intravenous normal saline 1L is prescribed to run over 4 hours.a) Note the ‘Actions Required’ section of the ADDS chart and explain who should accompany Mrs Chan when she leaves the ward to go to the X-ray department. You would need to ensure that you confirm this with the RN.Mrs Chan has been prescribed an IV solution of normal saline, which contains sodium chloride and water. a) Explain the following concepts related to body fluid compartments and intravenous fluids:(i) Define the terms solute and solvent and how it relates to the prescribed solution(i) In your own words, explain what osmosis is and how it works in the three fluid compartments of the body(i) Why is Mrs Chan’s IV fluid an isotonic solution? (ii) Why this solution is used to treat dehydration?(i)Describe the difference between hydrostatic pressure and colloid osmotic pressure (also known as oncotic pressure) in relation to transport of fluids across a capillary membrane. Health Science Science Nursing HLT 54115 Share QuestionEmailCopy link Comments (0)
