Case senario I: Jason is 17 year

Case senario I: Jason is 17 year old male Situation: Presented to the accident and emergency department after a motor vehicle accident (MVA). An X-ray confirmed a fractured right (R) tibia and broken ribs. He also has concussion from a head injury sustained in the MVA. Background: Jason has no significant medical or surgical history. He has an allergy to Morphine. Social History (SHx): Lives at home with mother, step-father and siblings. Recently completed high school, waiting to hear if he has a place in university Recently obtained his driver’s licence Has a girlfriend Lucy Spends a lot of time playing computer games, is not very physically active. Assessment: Jason is 88kg and 172cm in height. Current vital signs Resp 28, O2 Sats 97% on room air (RA), BP 130/85, HR 110, Temp 37, and pain 6/10. Recommendations: Jason is scheduled to have surgery to repair his fractured tibia, an open reduction and internal fixation (ORIF). He needs to be prepared for surgery planned this afternoon. A: It has been determined after the emergency response that Jason has had an acute brain haemorrhage. He is unconscious and requires a tracheostomy and a nasogastric tube to be inserted for NG feeds. Outline your care of a tracheostomy tube. In your response consider: care of the tracheostomy including suctioning and dressing changes (outline how to care for a tracheostomy; specifically dressing changes and suctioning.) your scope of practice as an EN caring for a client with a tracheostomy (Think about what determines EN scope of practice in Victoria? How do you know you are safe to care for a tracheostomy; who could you ask or refer concerns to?) B: A nasogastric tube (NGT) is commonly inserted to provide nutritional support to individuals. Describe the care required prior to using the NGT? (What you need to do prior to commencing a NG feed. How do you know the NGT is in the correct position?) What actions do you take if you think the tube is blocked? (What would you do if you think the NGT is blocked? Who would you discuss this with) Describe your steps when giving a NGT feed. (Outline the steps you would take to administer a NG feed to your client.) SCIENCE HEALTH SCIENCE NURSING BIO 8074

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