Nursing - Andrei Cruz Case Study Assessment Answer

Nursing - Andrei Cruz Case Study Assessment Answer

Task:

Assignment question:
Andrei Cruz, aged 32 years, has been involved in a motor vehicle accident and sustained the following injuries:
• A compound fracture of his right distal femur
• Facial trauma sustained by deployment of the vehicles air bag
• Seat Belt Syndrome including

• Bruised right thorax and transverse abdomen
•  Multiple fractured ribs on the right side of the chest and pulmonary contusion on the right lung which has been confirmed by chest X-ray
•  A mild liver laceration confirmed by CT, not requiring a surgical intervention

Andrei is usually fit and well with no co-morbidities and is not taking any regular medication. Andrei is on his way to the operating room for an open reduction and internal fixation (ORIF) of the compound fracture to his right femur.

Part 1: 
Discuss the pathophysiology of Andrei’s presenting injuries in relation to the implications for perianaesthesia management during the planned procedure.

Part 2: 
Prioritise the post anaesthesia care unit nurse’s responsibilities and nursing interventions necessary for Andrei in the immediate post-operative period.

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