What organs and tissue could be affected

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Reference no: EM133866646

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 to 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: EM133866646

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