Case study - timothy smith-intensive care unit

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Reference no: EM133905733

Use the "Case Study: Timothy Smith - ICU" (attached) template to complete the assignment.

Case Study: Timothy Smith-Intensive Care Unit (ICU)

Directions: Read the case study below. Evaluate the information and formulate a conclusion based on your evaluation. Complete the critical thinking table and submit the completed template to the assignment dropbox. Boost your grades with expert-level assignment help today.
The purpose of this assignment is to evaluate patient data to navigate decision-making in ambiguous situations, assist the patient and family in managing complex care needs, and perform effectively in an interdisciplinary team.

PART I: Health History and Medical Information
Evaluate the health history and medical information for John Doe, presented below.
After his discharge from the ED, John was transferred to the Intensive Care Unit (ICU) for specialized care and monitoring where you took over as his nurse. Upon arrival to the ICU, John was identified as Timothy Smith. He arrives intubated on a ventilator and requires continuous assessment for his TBI, multiple fractures, and underlying psychological conditions. Specialty providers are considering the risks vs. benefits of a hematoma evacuation. Upon entry to the ICU, Mr. Smith has been diagnosed with:
1. Severe Traumatic Brain Injury with a GCS score of 6, managed with an external ventricular drain (EVD)
2. Respiratory instability managed with a ventilator
3. Femur fracture withopen reduction and internal fixation (ORIF)
4. Hairline fracture of 3 left ribs
Laboratory Tests, Results, and Vitals:
1. EVD - Intracranial Pressure (ICP) - 12
2. Echocardiogram (EKG): Sinus Tachycardia Rate 128
3. Arterial Blood Gas (ABG):
a. PaCO2 Level - 51 mmHg,
b. HCO3 Level - 30 mEq/L
c. pH 7.39
d. PaO2 79 mmHg
e. SaO2 98% on ventilator
4. Respiratory Rate: mechanical ventilation rate 14 with no spontaneous respirations
5. CBC -
a. White Blood Cells: 12.9
b. Hemoglobin: 13.6
c. Hematocrit: 38.7
d. Platelet Count: 310,000
6. CMP:
a. Potassium 4.5 mEq/L
b. Sodium 135 mEq/L
c. Bilirubin: 2.1 mg/dL
7. GCS 8 after placement of EVD and drainage of 10ml of sanguineous fluid from drain.
a. Deficit for only opening eyes to pain (2)
b. Verbal response is incomprehensible sounds (2)
c. Motor score of (4) withdraw from pain

You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the past 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Reference no: EM133905733

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