Question: andnbspquestion 2 case study mr smith is a 53year...
Question 2 :
Case study: Mr Smith is a 53year old Male. He has presented to hospital yesterday after he fell while getting out of his truck. The X-ray on admission showed that Smith has sustained a compound fracture of his right ankle, Surgery was completed this morning and Smith has returned to the ward from the Operating theatres 2 hours ago. Mr Smith is 118kg and 180cm in height. Current vital signs Resp 26, O2 Sats 97% on room air (RA), BP 170/90, HR 110, Temp 37.
Smith’s past Medical History (PMHx) include: Type ll Diabetes needing close management and Records BGL daily, Osteoarthritis in L) Knee, History of COPD and Allergy to Penicillin
Social History (SHx): ETOH (Alcohol) usage on a regular basis, Smoker, averages 15 cigarettes per day, Often consumes take away/ fast food diet as away from home regularly and Sedentary lifestyle.
While you are completing Smith’s post-operative observations, he states that he is feeling tight in the chest and a little breathless.
a) Explain what you think might be happening to Smith. Provide a rationale for your response. When you report the situation to the RN, they request that you record a 12 lead ECG on Smith.
b) The doctor has requested that you collect a sample of blood to determine what may be the cause of Smith’s symptoms. In your own words, describe the steps in completing venepuncture (remember to include in your response dignity, privacy and safety considerations)