Clinical Worksheet Plan Of Care – Marilyn Hughes

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Clinical Worksheet Plan Of Care – Marilyn Hughes essay assignment

Patient Introduction

Marilyn Hughes is a 45-year-old female who suffered a left mid-shaft tibia-fibula fracture when she slipped on icy stairs this morning.

She was taken to surgery for an open reduction with internal fixation (ORIF).

She returned from surgery at 1:45 p.m. with a below-the-knee ace/splint dressing.

Vital signs have been stable, and neurovascular checks have been within normal range.

She has an IV of Lactated Ringer’s infusing at 75 mL/hour and is tolerating liquids well without nausea.

Her diet could probably be advanced to regular dinner this evening.

A family member has been with her at the bedside throughout the day.

She began complaining of pain shortly after returning from surgery and was

given morphine 6 mg IV at 2:15 p.m.

She is now on every-30-minute postoperative vital signs.

Last vital signs were BP: 130/82, HR: 88, RR: 16.

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