Reference no: EM132370681 , Length: word count : 2000

Assignment 

You are required to submit a critical discussion paper related to the nursing managenteat of Mrs. Grace case study below.

The critical discussion paper should address the following issues:

1. What data deviate from normal findings, suggesting the need for further investigation?

2. What additional information should the nurse ask or question for?

3. Describe the patient's presenting problem focusing on the pathophysiological issues.

4. Identify 2 nursing diagnosis that needs immediate interventions and discuss the nursing management appropriate for the patient and evaluations of the nursing management plans presented in the literature.

5. Explain the pharmacokmetics of the prescribed medications in ED and their indications.

6. Discuss nursing management of the prescribed medication in ED, the adverse effects of the medications contraindication and side effect, with the age of the patient in mind, using evidence-based literature.

7. Describe in detail the information you would share with the patient and how you will educate the patient about the interactions and long-term effects of the regular medications of Mrs. Grace.

Mrs. Grace is an 80 year old woman who was admitted to ED at 1730 with the history of unwitnessed fall. She was found on the floor by her son. She was unable to stand up. In ED she was found to be in excruciating pain. Her right Leg appeared to be shortened and internally rotated. It was noted she had multiple bruising over her right t arm and face and a 4 cm laceration to her right lower arm. She was administered infra nasal Fentanyl 100 Mcg by the Ambulance crew.

Her Vital Signs : Bp — 147/77 mmHg, HR 112/mt - Irregular, RR - 24/min Spo2 — 99% RA, temp; 37.2 GCS - E3 V4M6=13/15.

Regular Medication	Medications Administered in Ed
Rivaroxaban 15 mg	Bupuvacaine + Fentany femoral block
Thyroxine 50 mcg	Panadol 1 g
Amiodarone 100 mg	Neurofen 400 mg
Metoprolol 25 mg	Morphine 5 mg