Reference no: EM133528793

Mr kim Liu is a 28 year old Korean man and who has brought in by paramedics after a motor vehicle accident. He does not speak any English, He suffered an open fracture of the left tibia and fibula. He has left upper quadrant pain, and seatbelt mark along shoulder, neck and chest. Through an interpreter it is determined that he has no known allergies and he has significant pain 9 put of 10- despite intravenous morphine given by the paramedic on site. Vital signs: BP 150/86mm/ hg, Temp- 37, HR- 100, RR- 28bpm, SpO2- 93% 6Liters via Hm) Chest Xray suggests some stable rib fractures and Leg X- rays reveal crush injuries and comminuted fractures of his left tibia and fibula. An abdominal CT demonstrated a splanchnic haematoma. Mr Liu is going to theatre shortly for ORIF of his leg fractures. he may also have a laparotomy for the splanchnic haemorrhage.

Task:
1. Critically analyse and interpret the assessment findings for Mr. Liu
2. Identify and discuss some of the ethical and legal issues that need to be considered in the care of Mr. Liu
3. Explain the mechanism of action of morphine and considerations of use of this drug to Mr Liu's case
4. what are the two complications associated with fractures? Discuss the nursing management strategies and interventions of two of these complications. in discussion outline the role of the relevant multidisciplinary team disciplines and include health promotion strategies?