VJ, 81 y/o M

Right femoral neck fracture: Injured bone and tissues bleed, forming a hematoma. Hematoma coagulates to form clot between pieces, with new blood vessels growing inside hematoma bringing phagocytes and fibroblasts into area for prolonged repair

Resulted from fall

Rx for future falls

Home environmental assessment. Determine who takes care of them/who is at home for them

Assess level of independence

Open reduction internal fixation, performed yesterday

Pain

Morphine PRN

Percocet PRN

Risk for constipation

Docusate BID

Assess for abd pain, last BM, and hypoactive bowel tones

Docusate BID

Monitor for cramps and diarrhea

Monitor respiratory status, pain level (should be severe!), and bowel patterns for constipation

Monitor respiratory status, assess pain levels, and monitor bowel patterns for constipation

Awaiting lab results

CBC

PT, PTT, INR

Rx for osteomyelitis

Ancef

Monitor stool patterns for C. diff

Dressing change daily HOS

Monitor drainage and quality of incision site

Foley catheter

Blood loss, rx for hypoxia

Take Vitals Q4

Apply O2 PRN to keep sats above 92

Up with assistance at hospital

Rx for UTI

Monitor temperature, WBC's, urine output, and urine quality

Rx for oliguria

Bladder scan

Monitor I&O. Recommend lasix if retaining

Monitor dressing site, and interpret H&H