What major complications might occur with this diagnosis

Reference no: EM133641048

Assignment:

Acute respiratory failure/Acute Respiratory Distress Syndrome

Jean is a 64 year old male who has been admitted to your unit s/p MVA x 38 hrs ago. Jean was driving a small pick-up truck and was hit head on by an oncoming vehicle traveling 30mph. Jean refused medical treatment on site, but was brought to the emergency department by his spouse after he started to experience shortness of breath the evening of the accident. In the ED it was determined that Jean experienced two fx ribs with fluids collecting in the left pleural space. A chest tube was placed in the ED (650ml serous fluid removed) and 170ml of serious fluids has drained over lasts night shift. SE complains of being more short of breath then the previous day with a congested cough and 7/10 pain in his thoracic region despite the use of pain medication. This morning chest x-ray showed bilateral patchy pulmonary infiltrates likely secondary to trauma and pneumonia.

PMH:

HTN
CABG (x23months)
Smoker (1 PPD)
Hyperlipidemia
DMII

Initial examination:

Jean is alert and orient; anxious upon arousal

Pendulous abdomen

Orthopnea; snoring and periods of apnea while sleep; breathing shallow; O2 sat 91% on 4L NC

LS course crackles throughout; congested cough; non-productive

HR regular; tachycardia (HR 126)

Laceration above right eye (CDI)

Edema to L knee with ecchymosis

Wounds to bilateral feet

1. What major symptoms would you expect to see with this diagnosis?

2. What major complications might occur with this diagnosis?

Reference no: EM133641048

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