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Jack Buun Emergency Surgery for his Femoral Neck Fracture using Clinical Reasoning Cycle | Nursing Case Study Assignment Help
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Case Study – Jack Buun Emergency Surgery for his Femoral Neck Fracture using Clinical Reasoning Cycle
Task: Jack Buun, 69, femoral neck fracture post a fall Jack Buun presented to the emergency department (ED) via ambulance after a fall in his backyard, which lead him to twist and fall directly on the lateral aspect of his right hip. On examination the paramedics reported his right leg to be shortened and externally rotated, and Jack was unable to get up and in a significant amount of pain. His wife Ethel found him and called the Ambulance. Jack has a past history of hypertension that is well controlled. Jack required emergency surgery under general anaesthetic for his femoral neck fracture, and underwent a hemiarthroplasty. You are called to the post anaesthetic recovery unit (PACU) to receive handover, and are happy that he meets the discharge criteria of the hospital. You are told that Jack received the following intravenous medications for pain during and after his surgery:- 20mg Morphine
- 100mg Tramadol
- 40mg Paracoxib
- 1g Paracetamol
- Vital Signs: BP 145/80, HR 120, SpO2 96% on 2L via nasal prongs, Temp 37.1° Celsius, RR 10;
- Drowsy but rousable to voice commands;
- Pinpoint pupils;
- Neurovascular observations (Right Lower Limb): Cool, pale, touch present, movement present, capillary refill sluggish, dorsalis pedis present but thready;
- Pain 3/10.