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VJ, 81 y/o M (Right femoral neck fracture: Injured bone and tissues bleed,…
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
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Open reduction internal fixation, performed yesterday
Pain
Morphine PRN
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Monitor respiratory status, pain level (should be severe!), and bowel patterns for constipation
Percocet PRN
Monitor respiratory status, assess pain levels, and monitor bowel patterns for constipation
Risk for constipation
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Assess for abd pain, last BM, and hypoactive bowel tones
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Blood loss, rx for hypoxia
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Monitor dressing site, and interpret H&H
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Foley catheter
Rx for UTI
Monitor temperature, WBC's, urine output, and urine quality
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