NURS 330-Case Study 70 Spinal Cord Injury-latest-2022

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NURS 330-Case Study 70 Spinal Cord Injury-latest-2022 Scenario T.W. is a 22-year-old man who fell 50 feet from a chairlift while skiing and landed on hard-packed snow. He is now at the emergency de... partment (ED) with a suspected T5-T6 fracture with paraplegia. 1. Describe a plan for implementing these physician's orders. - Implementing a plan will involve understanding what priorities need to come first for this patient. I would start by immobilizing the patient’s spine so that we are not taking any chance of further spinal damage. Then I would place them on a 4L nasal cannula. Next, I would initiate two large-bore IVs for any medications and fluid that will need to be administered quickly. I would then connect the patient to ECG monitoring. Then insert a foley catheter for any incontinence, and lastly grab a warming blanket as needed for this patient, and complete the first neurological assessment to get a baseline of where this patient is at neurologically and with what deficits. 2. What are the nursing priorities at this time? - The main priorities are to immobilize this patient’s spine to prevent any further spinal damage and to apply oxygen and make sure that this patient has a patent airway and that there is perfusion and oxygenation. Next would be IV fluids and medications and neurological assessment. CONTINUED...... [Show More]

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