12-12-2008, 09:57 AM
let try this one also
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exam ccs case- multiple rib # - aish
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12-12-2008, 10:19 AM
pulse oxy
oxygen inhalation iva ekg 12 lead focused PE: reduced breath sound on affected side,trachea deviated to opposite side,dullness on affected side.vitals stable. cxr bmp cbc abg pt/inr ptt acetaminophen /ibuprofen nss usg abdomen if tenderness below the level of nipple cardiac monitor urine output blood alcohol and urine toxic if it happende in MVA. vitals q 1 hr shift to ICU bedrest npo input output vitals chest physiotx head elevation interval PE: depends upon patients progress,if abg deteriorates,resp distress,may have to intubate. if patient gets better,discharge counsel for seat belt,smoking alcohol,as rated sex. follow up after 2 wk and nsaids. add and correct pls.
12-12-2008, 10:40 AM
u did a good job Guest, i can add cervical spine imobilization, precaution, Xray cervical spine ( mva)
12-12-2008, 10:41 AM
vitals
caridac monitor pulse oximetry oxygen iva iv fluids( if in ER or Inpt) ( if hospital no need) CXR- portable Exam-Resp,msk, cvs,general,skin for bruises, abd cbc bmp advise rest with comfortable position ice pact for inflammation ibuprofen ranitidine ecg blood gp n typing pt/inr, ptt Interval PE= if improve, observe in hospital for 1 more day If condition worse, surgery consult and shift to ICU, monitor oxy reqment,increse oxy, may need to intubate maintain nutrition incentive spirometry if not treated as said by aish- nerve block Discharge order, counsel- nsaids, driv seat belt, etc. Fix appointment 10-14 days |
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