Nursing intervention
Malignant Hyperthermia Jody Rush is a 20-year-old female presented at ED and was admitted for a right femur fracture. Vital signs on admission were stable. The patient develops a reaction(Malignant Hyperthermia) post anesthesia. Subjective and Objective Assessment Findings Jody Rush is a 42-year-old female who presents to the ED with right femur fracture History of asthma,Preoperative vitals signs-Temperature 99.5F,Heart rate 89,respiration18,blood pressure 128/89 mmhg,SpO2 98 on room air,Pain 10/10.Output 400cc,Lung sounds clear,Small abration on foreheard,abdomen soft nontender,skin warm and dry,pulses +2 bilaterally,capillary refill less than 2 seconds. Postanesthesia assessment-Arousable,lethargic,reports of soreness and stiffness in the jar,clear lung sounds,respiration fast but unlabored,abdomen soft, nondistended,bowel sounds hypoactive in all quadrant,Surgical site intact and dry.Right has good sensation,client can wiggle toes,Bilateral extremities cool to touch,capillary refill 3 seconds.Vital signs-temperature 102.5F,heart rate 154/min,respiration24/min,blood pressure,94/62mm Hg,SpO2 90% room air,. Subjective Assessment Findings Postanesthesia- “Reports of soreness and stiffness in the jaw.” Objective Assessment Findings Clear lung sounds,respiration fast but unlabored,abdomen soft, nondistended,bowel sounds hypoactive in all quadrant,Surgical site intact and dry.Right has good sensation,client can wiggle toes,Bilateral extremities cool to touch,capillary refill 3 seconds.Vital signs-temperature 102.5F,heart rate 154/min,respiration24/min,blood pressure,94/62mm Hg,SpO2 90% room air,. Three Client Problems/Nursing Diagnoses, Interventions, and Rationales Safety Considerations Safety Consideration #1 Safety Consideration #2 Importance of the Nursing Interventions
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