Abdominal Trauma Case Study- MR. Lancaster (GRADED)

NUR 401 Abdominal Trauma Case Study- MR. Lancaster Mr. Lancaster is a 35-year-old client who was involved in a motor vehicle accident. Mr. Lancaster was wearing a seat belt and driving at a high rate of speed when he lost control of the car and hit an abutment. He was initially awake at the scene, but his level of consciousness declined while in transport to the hospital. Upon arrival to the emergency department he was already intubated orally with a # 8.0 endotracheal tube at 22 cm depth at the teeth, had bilateral 18 gauge IVs in his forearms, and had received 2 liters of normal saline due to hypotension. Mr. Lancaster’s medical history was noncontributory. His family history was negative for heart disease, diabetes, or cancer. He has a 15-pack-year history of smoking and drinks socially. Upon arrival at the hospital, Mr. Lancaster was on a backboard with a cervical collar. His vital signs were the following after fluid resuscitation: BP 110/80 mm Hg HR 113 beats/min Temp 97.0 oF RR 24 SpO2 95% (on 100% FiO2) His pupils were 3 cm, equal, and reacted briskly to light. He was able to move all four extremities spontaneously, but orientation to time, person, and place was difficult to assess because he had been sedated. The tympanic membranes were clear, and the trachea was midline. He was tachycardic with normal S1 S2 and no murmurs, rubs, or gallops. Peripheral pulses were 2 bilaterally in all extremities. Examination of the chest revealed no flailing and no subcutaneous emphysema. Breath sounds were diminished in the lower lobes bilaterally. His abdomen was soft and moderately distended with hypoactive bowel sounds. There were no palpable masses and no hepatosplenomegaly. The pelvis was stable. Genitourinary assessment revealed no hematuria. Rectal tone was normal, and stool was guaiac negative. Skin had scattered abrasions throughout..........document continue Show Less