Mrs. Grace's Case Study - Nursing Knowledge 2 - Nursing Assignment Help

Assignment Task:

Scenario:

Mrs. Grace is an 80-year-old woman who was admitted to ED in 1730 with a history of unwitnessed fall. She was found on the floor by her son. She was unable to stand up. she was found to be in excruciating pain. Her right Leg appeared to be shortened and internally rotated. It was noted she had multiple bruising over her right arm and face and a 4 cm laceration to her right lower arm. She was administered intranasal Fentanyl 100 Mcg by the Ambulance crew. Her Vital Signs: Bp — 147/77 mmHg, HR I12/min - Irregular, - 24/min Spo2 — 99% RA, temp- 37.2C GCS - E3 V4M6 = 13/15. 
Regular Medication 
Medications Administered in Ed 
Rivaroxaban 15 mg 
Bupivacaine + fentanyl femoral block 
Thyroxine 50 mcg 
Panadol I g 
Amiodarone 100mg 
Neurofen 400 mg 
Metoprolol 25 mg 
Morphine 5 mg 
Mrs. Grace had blood taken. She had done a chest x-ray, which was NAD, and Right hip XRay which revealed # neck of femur. She CT scan of her head has been ordered, which is yet to be done

A — Allergies — Penicillin 
M — as mentioned above 
P — Hypothyroidism, HTN, AF, IHD multiple falls 
L — Last ate around noon 
E — Eve. — Does n. remember events leading to the 311 
The critical discussion paper should address the following issues: 
I. What data deviate from normal findings, suggesting the need for further investigation? 
2. What additional information should the nurse ask or question? 
3. Describe the patient's presenting problem focusing on the pathophysiological issues. 
4. Identify 2 nursing diagnoses that nee. immediate interventions and discuss the nursing management appropriate for the patient and evaluations of the nursing management plans presented in the literature. 
5. Explain the phannacokinetics of the prescribed medications in the ED and their indications. 
6. Discuss nursing management of the prescribed medication in ED, the adverse effects of the medications, contraindication, and side effects, with the age of the patient in mind, using IHM Nursing Knowledge evidence-based literature. 
7. Describe in detail the information you would share with the patient and how you will educate the patient about the interactions and long-term effects of the regular medications of Mrs. Grace. 

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