Posted: September 5th, 2021

Clinical Worksheet Plan of Care Concept Map

Clinical Worksheet Plan of Care Concept Map

Marilyn Hughes is a 45-year-old female who suffered a left mid shaft tibia-fibula fracture while slipping on icy stairs this morning. She was taken to surgery for an open reduction with internal fixation (ORIF). She returned from surgery 1345 hours. She has a below the knee splint dressing Vital signs have been stable and neurovascular checks have been within normal range. She has an intravenous of Normal Saline infusing at 75 mL/hour. She is tolerating liquids well without nausea. Her diet could probably be advanced to regular dinner for tonight. She has a family member at the bedside who has been with her throughout the day. She began complaining of pain shortly after returning from surgery. She has a PCA in for pain management with a background infusion of 1 mg/hr of Morphine, with a bolus of 1 mg per bolus with lockout interval of 15 minutes. She is now on every 30 minute post-op vital signs. Last vital signs were blood pressure: 130/82, heart rate: 88, respiration rate: 16 oxygen saturation 92%.

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