Describe the fluid compartments and their respective volumes

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Reference no: EM133866520

Assignment:

Comprehensive case scenario the goals for this scenario are as follows:

Interpret all of the patient data provided and determine what is important to the nurse's understanding of the case and what is not. Much like real life, nurses will often be required to sift through information to find the details nurses need to nurse-patent.

Review the scenario questions and determine exactly what is being asked of the nurse

Research nurse response using class notes, lecture videos, textbooks and any other resource that provide nurses with details you require. I would suggest not relying entirely on the lecture material because this scenario is much more expansive than the previous ones.

The Emergency Department (ED) at the hospital has been advised that a 27-year-old male construction worker with profound bleeding is on the ambulance route. As the RPN on duty, he is brought to the NURSE assigned ED bed space and is informed of the following details recorded by EMS:

The patient is awake and alert with a section of metal rebar secured in situ penetrating his RUQ.

He is pale and diaphoretic (sweating) and is complaining of severe abdominal pain. He also states he is feeling cold and dizzy. EMS has estimated blood loss to be approximately 1 litre. A 20 gauge IV was inserted by EMS just before the patient arrived at the hospital and is running normal saline.

After further assessment, the following additional details are recorded in the patient chart: Respiratory Rate = regular at 22-25 breaths/min Heart rate = 110 beats/min Blood pressure = 110/70 Temperature = 36.8o C Saturation = 99% Radial and dorsalis pedis pulses are weak but regular bilaterally. The patient has a history of migraines and is currently taking Treximet 85/500 (Triptan + Naproxen combo medication) BID prn (twice daily, as required). No other medications are documented in the examination.

1. Based on the location of the injury, what organs and tissue could be affected?

2. Describe the fluid compartments and their respective volumes. Which this injury would most directly impact the fluid compartment?

3. Based on NURSE's knowledge of the endocrine system, which hormones would NURSE expect to be released early (first 6 hours) due to this injury and why? Please provide support for an answer.

4. How will this injury and the hormones released affect the patient's cardiovascular and respiratory systems?

5. How will this injury and the release of the hormone affect the patient's kidney function?

Reference no: EM133866520

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