What do you think is happening to mr jamison

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Assignment:

Mr. Jamison is a 30 year old male patient admitted to the ED after a severe motorcycle accident. He sustained a fx of the pelvis and left tibia and a lacerated spleen. He is restless, irritable and drowsy. VS: HR 120 and irregular, BP 80/50, RR 22, Temp 96.7 tympanic, urine output is decreased.

  • What do you think is happening to Mr. Jamison? and what would you expect in terms of laboratory results (electrolytes and fluids)
  • What interventions (in order of priority) need to be implemented for Mr. Jamison?

Several days later Mr. Jamison is in the ICU recovering from surgical repair of his fractured pelvis, tibia and spleen. The evening assessment revealed VSS as well as diagnostic reports. Morning assessment reveals the following: change in mental status, as he is drowsy and difficult to arouse and irritable, increasing pain, H&H 9.7 and 24, K+ 6.8, u/o less than 30ml/hr. BP 90/60, HR 116, RR 22 and shallow, WBC 14.3, Tº 101.4

  • What do you suspect is happening to Mr. Jamison?
  • What would you plan for this patient?

Reference no: EM133868150

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