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    Scenario 4 Lab 3

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    api-3775363
    Jason Brown is a 21-year-old college football player who had surgery for a fractured right tibia and fibula. He reports considerable pain and has orders for morphine, vital sign monitoring, dressing changes, and Senekot for constipation prevention. The nursing diagnoses are acute pain, risk for infection, and risk for constipation. Interventions include administering pain medication, monitoring vitals and changing dressings, and encouraging fluids and fiber for constipation prevention.

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    Scenario 4 Lab 3

    Uploaded by

    api-3775363
    220 views2 pages
    Jason Brown is a 21-year-old college football player who had surgery for a fractured right tibia and fibula. He reports considerable pain and has orders for morphine, vital sign monitoring, dressing changes, and Senekot for constipation prevention. The nursing diagnoses are acute pain, risk for infection, and risk for constipation. Interventions include administering pain medication, monitoring vitals and changing dressings, and encouraging fluids and fiber for constipation prevention.

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    Scenario 4 lab 3

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    Jason Brown is a 21-year-old college football player who had surgery for a fractured right tibia and fibula. He reports considerable pain and has orders for morphine, vital sign monitoring, dressing changes, and Senekot for constipation prevention. The nursing diagnoses are acute pain, risk for infection, and risk for constipation. Interventions include administering pain medication, monitoring vitals and changing dressings, and encouraging fluids and fiber for constipation prevention.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    220 views2 pages

    Scenario 4 Lab 3

    Uploaded by

    api-3775363
    Jason Brown is a 21-year-old college football player who had surgery for a fractured right tibia and fibula. He reports considerable pain and has orders for morphine, vital sign monitoring, dressing changes, and Senekot for constipation prevention. The nursing diagnoses are acute pain, risk for infection, and risk for constipation. Interventions include administering pain medication, monitoring vitals and changing dressings, and encouraging fluids and fiber for constipation prevention.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    Scenario 4: Jason Brown

    Jason Brown is a 21 year old college football player. It is the first post-op day following
    surgery of a fracture of his right tibia and fibula. He has sutures over the anterior knee
    and the lateral malleolus and a posterior splint on the right leg. He reports considerable
    pain. He has an IV of N/S infusing TKVO. O2 is @ 2L./min via nasal prongs.

    DR’s Orders:
    VS q4h
    IV N/S TKVO
    C&S swab knee site
    Change drsgs. on sutures daily
    Morphine 5-10mg IM/IV q4h – prn for pain
    Senekot S i-ii tabs OD

    Nursing diagnosis:
    1) Acute pain related to fractured right tibia and fibula as evidenced by patient’s
    complain of considerable pain.
    2) Risk for infection related to surgical incision on right anterior knee as evidenced
    by doctor’s order of culture and sensitivity swab on the knee site.
    3) Risk for constipation related to Morphine as evidenced by Doctor’s order of
    Senekot.

    Nursing Intervention:
    1) Administer pain medication as ordered.
    2) Monitor Vital signs. Change dressings as ordered.
    3) Encourage patient to drink plenty of fluids and increase fiber on diet. Administer
    senekot as ordered.

    Morphine Sulfate
    Brand name: Duramorph, Statex, epimorph
    Generic name: Morphine sulfate
    Indications and dosages: Adult PO 10-30 mg q4h prn/ subcu:5- 15 mg prn, IV: 4-10 mg
    q4h prn.
    Classification: Narcotic
    Uses: decreases severe pain
    Adverse/Side effects: Anorexia, nausea and vomiting, constipation, drowsiness, dizziness,
    sedation, confusion, urinary retention, rash, flushing, bradycardia. Pruritis.
    Drug Interaction: Increase effect with alcohol, sedatives-hypnotics, antipsychotic drugs
    and muscle relaxant.
    Contraindications: Asthma with respiratory depression, increased intra cranial pressure
    and shock.
    Nursing Consideration/Teaching:
    1) Encourage patient not to use alcohol or CNS depressants, respiratory depression
    can result.
    2) Suggest non-pharmacologic measures to relieve pain as patient recuperates from
    surgery.

    Senekot
    Generic name: Docusate sodium
    Pregnancy category: C
    Classification: Laxative, Emolient
    Action: Acts by lowering the surface tension of the feces and promoting penetration by
    water and fat, thus increasing the softness of the fecal mass
    Uses: To lessen strain of defecation in persons with hernia or CV disease or other
    diseases in which straining at stool should be avoided.
    Contraindications: Nausea, vomiting, abdominal pain, and intestinal obstruction.
    Drug Interaction: Docusate may increase absorption of mineral oil from the GI tract.
    Side effects: Excess activity of the colon resulting in nausea, diarrhea, or vomiting.
    Obstruction in the esophagus, stomach, small intestine or rectum.
    Client/Family Teaching:
    1) May administer PO solutions of docusate with milk or fruit juices to help mask
    bitter taste.
    2) Drink a glass of water with each PO dose.
    3) When used in enemas, add 50- 100 mg to a retention or flushing enema.
    4) Because docusate salts are minimally absorbed, it may require 1- 3 days to soften
    fecal matter.

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