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.
Please answer the following questions.
1. What complications can occur to someone after having surgery involving general anesthesia?
2. Discuss pathophysiology and pharmacological treatments of compartment syndrome.
3. Which diagnostic tests are necessary to collect prior to a patient's surgery?
4. What is a "time out" mean, in terms of a surgical procedure?
5. Which assessment data would lead you to a conclusion of compartment syndrome?
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Marilyn Hughes is a 45-year-old female who suffered a left mid-shaft tibia-fibula fracture when she...
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