Cardiac Output To Prevent Cerebrovascular And Systemic Deterioration - Specific Adrenergic Receptors Are Stimulated - Nursing Assignment Help

Assignment Task :

Mohammad, a 41-year-old courier, is admitted to the ED after he was involved in a single vehicle motor vehicle crash. He crashed into a tree at 0530 hours. The weather conditions were cold and wet. Mohammad has no significant medical history but smokes 25 cigarettes per day. Mohammad’s injuries include cerebral contusions, multiple rib fractures and a right-sided haemopneumothorax.

Clinical assessment reveals:

• RR 42 breaths/minute short and shallow

• SpO2 86%

• HR 120 beats/minute

• BP 87/60 mmHg

• Temperature 35.5ºC

• Pain Visual analogue scale 8/10

• GCS 13

• Pale and diaphoretic

Management includes:

•  C spine – semi rigid collar

• Oxygen via a mask at 6 litres/minute

• IV fluids – Hartmann’s stat

• 2 units of packed cells

• Intercostal catheter

• Warm blankets

• Morphine 2.5 mg increments titrated to pain

• CXR

Questions :

 Explain the components of Mohammad’s tachycardia.

• Which specific adrenergic receptors are stimulated?

• In view of his injuries, what is the optimal haemodynamic status and cardiac output to prevent cerebrovascular and systemic deterioration?

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