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V.J. 81 y.o. male - Full Code - Coggle Diagram
V.J.
81 y.o. male - Full Code
Fell shoveling driveway
Fracture of the right femoral neck
Open reduction internal fixation
Hospitalization: day 3
Decreased mobility
Demonstrating s/s of DVT & Pulmonary embolism
Left leg pain, warmth, long-red streak
Assist pt OOB once DVT and embolism is resolved
Increased RR (28 breath/min)
Difficulty coughing & deep breathing
7/10 pain
PRN pain medications: morphine & Percocet available
Decreasing SpO2 in the 80s
Supplemental O2 applied (started w/ 2L on NC and moved up to 15 L on Non-rebreather)
SpO2 not increasing
1 more item...
At risk for constipation
Assist pt OOB, begin gait training w/ walker
Admin Docusate Sodium
Pathophysiology: The femoral neck joins the femoral shaft w/ the femoral head. The hip joint is the articulation of the femoral head w/ the acetabulum. This location is prone to fracture. Fractures at this location put blood supply at risk to the femoral head d/t possible disruption of the medial femoral circumflex artery.
Open reduction internal fixation needed
Avascular necrosis is a possible complication
Bones put back in place with hardware.
Smoker
0.5 pack/day
higher risk for DVT and pulmonary embolism
Educate pt on ways to decrease risk of DVT/embolism
Provide resources to pt if he demonstrates desire to quit smoking
Impaired perfusion and gas exchange
If sent home on O2 provide education for smoking and O2
At increased risk for falls d/t age and cateracts
Perform Morse Fall Assessment
Assist patient when walking
Encourage pt to meet w/ PT and OT
Speak with PT/OT/SW about d/c planning and safety measures
At risk for infection d/t surgery and Foley in place
Administer Ancef
Document I/O
Advocate for Foley removal when needed
at risk for CAUTI after 48 hrs
Assess for s/s of infection: increased WBC, fever, abnormal labs, sepsis signs (mental status changes, increased HR, decreased BP.
Proper positioning of foley
Peri-care