Please provide a kind response to this person Ellie Akossiwa

Case Study Mr Kim Nguyen (MRN 727991) is a 18 year-old Vietnamese man who was brought in by paramedics after a car accident. He doesn’t speak any English. He suffered an open fracture of the left tibia and fibula. He has left upper quadrant pain, and a seatbelt mark along his right shoulder, neck and chest. Through an interpreter it is determined that he has no known allergies. Despite intravenous morphine given by the paramedic on site, Mr. Nguyen is screaming in pain. His observations are as follows: Temperature Heart rate Respiration rate Blood pressure SpO2 38.0°C 148 beats/min 35 breaths/per minute 90/43 mmHg 92% (6 Litres via HM) A chest X-ray suggests some stable rib fractures . An abdominal CT demonstrated a splanchnic haematoma. Mr Nguyen is going to theatre shortly for an open reduction and internal fixation (ORIF) of his leg fractures and, depending on his haemodynamic stability, he may also have a laparotomy for the splanchnic haemorrhage. This case has been modified from your prescribed text: In Bullock, S., & Hales, M. (2012). Principles of Pathophysiology. (2nd ed., pp. 915-917). Pearson Higher Education AU. Assessment Questions Critically analyse and discuss each vital sign and the assessment findings for Mr Nguyen Discuss two ethical issues that need to be considered in the care of Mr Nguyen and how would you address this in clinical practice? Explain the mechanism of action of Morphine. Discuss the clinical considerations of use of

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