Week 10 Discussion NURS6560
Order Description
discussion Part I: Neurologic and Orthopedic Conditions and Plastic/Reconstructive Surgery
This week, you study neurologic and orthopedic conditions with plastic surgery considerations. Both neurologic and orthopedic conditions are seen in the trauma areas
of the hospital. These conditions encompass cardiovascular, pulmonary, and metabolic aspects of care in the ICU. For this Discussion, focus on adolescent patients, and
consider potential diagnoses, treatment, and/or referral options for the patients in the following 3 case studies.
Case Study 1
A 17-year-old male was celebrating his birthday with friends and alcohol. At one point he jumped into the hotel pool three stories below, hitting the side of the pool
with his chest. EMS arrived and packaged him with spinal support. He arrives in the ER with breathing difficulty, chest pain, GCS 10, and O2 sat of 94%. You do initial
assessment in the first 10 minutes and find that his chest is asymmetric for breathing and contusions are noted all over his chest. His CXR shows multiple rib
fractures on both sides and pulmonary contusions. His cervical spine is stable in a collar. His thoracic and lumbar films are negative for fractures. In the next
hours, what are your priorities, and what plan would you have for this patient as he moves to the ICU? At what stage of development is he, and how does that affect his
care?

To prepare:
Review and select 1 of the 3 provided case studies. Analyze the patient information.
Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic
treatments.
Consider strategies for educating patients and families on the treatment and management of the trauma care.

DISCUSSION 2 — PHARMACOLOGY

DRUG IS : MONOBACTAMS
Option 1
Post a description of a patient you have taken care of (inpatient as an RN, or as an NP student) who has been prescribed the medication you selected. Include the
scenario, indication, dosing, complications, and outcome. Then explain whether or not you would have ordered the same drug and same dose.
Option 2
Conduct an evidence-based drug search on the drug you selected and post an explanation of any possible issues. Are there any drug interactions? Any black box warnings?
To what type of patient would you prescribe this medication?
Option 3
Post an explanation of the properties of the drug you selected, including usages and dosing in the hospital or ICU. Describe a patient you would prescribe this
medication to.