Mr. Jamison is a 30 year old male patient admitted to the EDafter a severe motorcycle accident. He sustained a fx of the pelvisand left tibia and a lacerated spleen. He is restless, irritableand drowsy. VS: HR 120 and irregular, BP 80/50, RR 22, Temp 96.7tympanic, urine output is decreased. What do you think is happeningto Mr. Jamison? and what would you expect in terms of laboratoryresults (electrolytes and fluids) . What interventions (in order ofpriority) need to be implemented for Mr. Jamison? List NursingDiagnosis for this patient.
Several days later Mr. Jamison is in the ICU recovering fromsurgical repair of his fractured pelvis, tibia and spleen. Theevening assessment revealed VSS as well as diagnostic reports.Morning assessment reveals the following: change in mental status,as he is drowsy and difficult to arouse and irritable, increasingpain, H&H 9.7 and 24, K+ 6.8, u/o less than 30ml/hr. BP 90/60,HR 116, RR 22 and shallow, WBC 14.3, Tº 101.4 What do you suspectis happening to Mr. Jamison? What would you plan for thispatient?