The Patient Is 4 Days Post Surgery For Repair Of A Compound Fracture Of The Femur The Patient Was Initially Seen In A S 1 (22.18 KiB) Viewed 31 times
The Patient Is 4 Days Post Surgery For Repair Of A Compound Fracture Of The Femur The Patient Was Initially Seen In A S 2 (29.18 KiB) Viewed 31 times
The patient is 4 days post surgery for repair of a compound fracture of the femur. The patient was initially seen in a small rural hospital and transferred to your hospital for the surgery. The patient is now complaining of shortness of breath. Heart rate is 120 bpm, and you notice a petechial rash on the anterior chest and neck. You suspect: Compartment syndrome Fat embolism Osteomyelitis Avascular necrosis
Your patient's ECG shows ST-segment elevation in the leads associated with the right coronary artery. Heart rate is 90 bpm and blood pressure is 148/94. Which of the following is least likely to be correct? The patient would benefit from a vasoconstrictor medication. Useful blood serum tests at this point are for troponin-I and CK-MB. The patient would benefit from aspirin and/or tPA. The posterior wall of the heart and the posterior interventricular septum are at risk for infarction. A thrombus may have formed in the right coronary artery.
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