Camila tolerates the procedure well

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Reference no: EM133820619

Case Scenario

You are an APRN in an urgent care clinic. You are assigned to see Camila Pliego, a 46-year-old woman who presents with a laceration over her right forearm from a fall down her basement stairs. She received the laceration from a protruding metal plate. Her vital signs are: BP 128/84, HR 94, RR 18, Temp 37.2, O2 Sats 99% on room air. She weighs 66.2 kg (146 pounds). She rinsed the wound with tap water and covered the area with gauze. What are three necessary questions you ask during the history intake? What wound factors need to be considered when assessing the wound for repair? What specific information do you include in the physical exam before wound repair? The wound measures 4 cm long and 1 cm wide into the subcutaneous tissue on the lateral aspect of the right forearm. You cannot see muscle or tendons and do not identify any foreign bodies. You decide to suture the wound for closure. What do you choose as your local anesthetic? Why? What type of suture do you use? Why? What suture technique do you use? Why? You obtain consent from Camila and complete wound closure. The wound edges are well approximated, and a dressing is applied. Camila tolerates the procedure well. What education regarding wound care do you give Camila? When should she return for suture removal? What do you consider before removing the sutures at that visit?

Reference no: EM133820619

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