ase Study , Chapter 72 Emergency Nursing 1 . A patient approximately 20 years of age without identification presents to the trauma unit on a...

Case study Emergency Med surge.......................................................

ase Study , Chapter 72 Emergency Nursing1 . A patient approximately 20 years of age without identification presents to the traumaunit on a backboard with cervical collar in place . The patient was ejected from thedriver's side of the car . The patient was oriented x 3 at the scene and able to move all fourextremities The patient stated he passed out and regained consciousness quickly . Within5 minutes , the patient became lethargic had slurred speech , and the right pupil wasunequal and sluggish Before becoming comatose , the patient had complained of chestpain when he breathed , and there was an imprint of the steering wheel on his chest in theorm of a bruise . As he breathed paradoxical chest movements were noted on the rightside of the chest . The trachea is deviated to the right side . The trauma team , consisting ofthe trauma surgeon directing the team , two nurses and a resident , provided care . Theinitial vital signs were as follows temperature , 10OF blood pressure , 78 /42 mm HCheart rate , 70 born respiratory rate , 28 breaths / min , uneven rapid breathing with period .of apnea The pulse oximetry reading is 85S on room air . Two large Vs are establishedand labs , including arterial blood gases , are obtained and sent to the lab for immediateprocessing An indwelling urinary catheter is inserted , and 300 m I of amber-coloredurine without sediments is noted An initial survey is completed to assess for obviousOF OBVIOUSproblems and steps are taken to prioritize the needs of the patient and provide emergenttreatment . ( Learning Objective 2 )a . What are the possible injuries to the patient according to the informationpresented I in the initial presentation , and what medical - surgical management isanticipated ?b . What are the priorities for care for this individual based on the informationinformatipresented ?2 . Joe Barker , a 65 - year -old patient , presents from doing work rooting on a 10OF dawith 100% humidity to the emergency department with the diagnosis of heat stroke . Thepatient has the following vital signs temperature , 104 F . blood pressure . 84/42 mm HCheart rate . 10 bom respiratory rate . 20 breaths / min . The patient is hot anhidrosisconfused to place and time , and drowsy ( Learning Objective 4 )a . What emergent management should the name anticipate for the patient ?b . What patient education should the nurse provide once the patient is stable ?