A 25 year old male patient was brought in ER of St. Dominic Medical Center by barangay tanod of Talaba IV in semi-consci

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A 25 Year Old Male Patient Was Brought In Er Of St Dominic Medical Center By Barangay Tanod Of Talaba Iv In Semi Consci 1 (76 KiB) Viewed 54 times

A 25 Year Old Male Patient Was Brought In Er Of St Dominic Medical Center By Barangay Tanod Of Talaba Iv In Semi Consci 2 (76.81 KiB) Viewed 54 times

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A 25 year old male patient was brought in ER of St. Dominic Medical Center by barangay tanod of Talaba IV in semi-conscious, unresponsive condition with multiple injuries and bleeding in the head, face, chest, abdomen and lower extremities after being hit by a water delivery van (road accident) and was thrown 20 meters from the barangay outpost. On admission, the vital signs taken, observation done and recorded: BP-80/60, Pulse rate-120 bpm, Respiration-shallow, rapid 110 cpm, Temperature-38.1C, GCS-9 (EO-3, MR-3, VR-3), SPO2-85%. Sustained lacerated wound right parietal area, with periorbital edema, bleeding in the nose, mouth, suspected rib fracture, bloated bruised abdomen, and deformed right arm and right lower leg.
Fifteen minutes later, panicking relatives came in and the Police of Bacoor City arrived for investigation in the medico-legal case. History revealed that the patient was going to his work in a nearby bakery using a borrowed bike from his neighbor when the incident happened. Relatives stated that the patient had a history of pernicious anemia, bronchial asthma, PTB since a year ago and a CKD case taking medications. An alcoholic and a chain smoker for 5 years. One of the witnesses saw the van speed up to the Coastal direction and nowhere to be found. A bystander witnessed the scene and was brought to the police station.
Questions: 1. In the given case scenario above, what are the three nursing priorities you must take into consideration as soon as you see the patient arrive at the ER? 2. Make a nursing care plan for the three priority problems of the patient. Include the concept mapping, pathophysiology, and drug study as well as literature reference. 3. Explain the normal pathophysiology of gas exchange from unoxygenated to oxygenated blood in the circulatory and respiratory system. 4. Explain what is primary survey and secondary survey during patient assessment in a trauma situation. 5. What are the nursing responsibilities to consider in taking care of patient with head injuries?