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Yea Yea Yea

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Submitted By iceflosser26
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Post Op DVT

Patient Initials: Z, Z

A 35 y/o male was admitted via the Emergency Department for a fractured left femur. He was parasurfing and lost control, slamming into some rocks off shore. He was taken to the operating room the day after admission for an open reduction and internal fixation (ORIF) of his left femur. You are assigned to care for him on postoperative day two. He is not married but lives with his girlfriend of 5 years in a two story home. He is athletic and exercises 5 times a week. He is a construction worker and is in good health. His parents are alive and healthy.

Healthcare Provider’s Orders:

O2 2LPM nasal cannula to keep O2 sat >92%
Activity as tolerated
Regular diet
Saline Lock
Antiembolic knee-high stockings
Alprazolam 0.5mg PO HS prn for anxiety or insomnia
Ampicillin 3g in 100ml 0.9% NS IVPB q12h
Hydromorphone 1mg IV q4h prn for severe pain
Hydrocodone 5mg/acetaminophen325mg 1 tab PO q4h prn
Diphenhydramine 25mg PO q4h prn for pruritus
Ondansetron 4mg IV q6h for nausea
Acetaminophen 650mg PO q4h prn for Temp greater than 38°C
Docusate sodium 100mg PO BID (discontinue for loose stools)
Questions to Prepare: 1. Describe the nursing management of the orthopedic postoperative patient. Include in this discussion potential complications, the risk factors and what is done to prevent these. 2. What is the pathophysiology of deep vein thrombosis (DVT)? 3. What is the medical and nursing management of the patient with a DVT? 4. Based on the knowledge learned from this scenario, discuss other potential causes of DVT besides orthopedic

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