Help with Nursing Care plan for this case study. 23 year-old male restrained passenger involved in a motor-vehicle accid

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answerhappygod
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Help with Nursing Care plan for this case study. 23 year-old male restrained passenger involved in a motor-vehicle accid

Post by answerhappygod »

Help with Nursing Care plan for this case
study.
23 year-old male restrained passenger involved in a
motor-vehicle accident, Taylor Reyes, was transported via emergency
medical services (EMS) to a level II trauma center. On route to the
hospital the patient’s vital signs were BP: 110/70; HR: 122; RR:23;
SPO2:99% NC 2L; Pain 3/10; T:36.6C; GSC 15. EMS placed a right AC
22 gauge at the rate 50 ml/hr NS and C-spine precautions were
initiated. Patient states he has no known drug allergies and
complains of right lower quadrant abdominal pain. Patient states he
has no known drug allergies and complains of right lower quadrant
abdominal pain. Patient is anxious expressing concerns regarding
not having medical insurance and pending financial burden of
hospitalization. Upon emergency department admission vital signs
were BP:95/60; HR: 130; RR: 26; SPO2: 97% NC 2L; Pain: 6/10; T:
38.2 C. Assessment findings showed rigid abdomen with distention,
rebound tenderness, abdominal guarding, seatbelt sign with visible
ecchymoses of abdominal wall.
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