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Mrs Grace Simpson is a 70-year-old woman admitted to hospital following a fall in her home. Mrs Simpson fell sometime during the day. Her son found her conscious and in pain on the kitchen floor approximately six hours after she fell and he called for an Ambulance. Upon assessment at the hospital, Mrs Simpson was diagnosed with a left (L) fractured neck of femur (left hip joint fracture). She additionally presented with bruising to her head and was severely dehydrated with symptoms of hypovolemia. Mrs Simpson states that she has a pain score of 8/10 and has a Glasgow Coma Score (GCS) of 14 (E4, V4, M6). She is experiencing some confusion as she is unable to recall the current year. Mrs Simpson has a past medical history of ischaemic heart disease. She had an acute myocardial infarction 2 years ago. Her current medications include Frusemide, Metoprolol, Aspirin, and Potassium supplements.

 

 

2. Explain how Furosemide can lead to hypovolemia, hyponatremia, and hypokalaemia and the associated pathophysiology of these conditions

 

3. Identify and describe one (1) preventative nursing care strategy and one (1) collaborative (inter-professional) care strategy that may assist to prevent Mrs Simpson from having another fall when she returns home

SCIENCE
HEALTH SCIENCE
NURSING
NURSING CHCCC020

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