Case Study(orif & Pneumonia)

causal agency Study (Open Reduction , Internal Fixation PneumoniaThe Case HistoryWe are presented with a 73 year old male person who underwent an open reduction and internal fixation of a fractured honorable neck of the femur The operation was satisfactory and the unhurried was rotate into the room with no complications . Two geezerhood post-op , he true moderate fever and presented with manifestations of pneumonia on top of the healing wounding site and edema in the surrounding areas . Ancillary procedures homogeneous laboratory exams concurred with the clinical diagnosis of pneumonia Since the operation , the diligent s match deteriorated and in reference to his age , aggressive measures will move over to be taken to assure his wellnessQuestion 1 : Explain with precept , relevant assessment data which supports the diagnosis of right sided pneumonia atomic number 82 to acute respiratory failureIn to better understand the rationale for post-operative right-sided pneumonia guide to acute respiratory failure , it is important to know the canonical anatomy of the respiratory system in man apparently , it turn out to be just a stigma of man s anatomy that the windpipe is poseed this way . Physicians are intimate on this (Braunwald E , 2004 Wyngaarde , JB , 1992 ) and the nurses are likewise taught the basics of this as well in school (Moreno MN , 2006 . Recent articles (Hart A , 2006 Moreno MN , 2006 ) reiterate the anatomy of the right windpipe branch and lungs in comparison with the left . If the patient is in the anatomical define , his chief(prenominal) trachea will be perpendicular to the traumatize , meaning his trachea positions vertically down from the epiglottis . At a certain level i .e . cartilage 12 , and because of the position of the heart being in betwwn the right and left lungs in the mediastinum (Moreno MN , 2006 , the heart pushes the left main bronchus of the trachea slightly superior giving this branch an angle later(prenominal) it exits from the main trachea .

In comparison , the right main bronchus is therefore more perpendicular to the floor than the left . Hence , foreign objects , mucus , and other secretions have a greater risk of easily lodging or silklike down the right branch of the tracheaIn addendum , it is known that after general anesthesia , specifically by inhalation , the patient accumulates secretions in his lungs due to the manipulation of this site by the endotracheal furnish for anesthesia . It is due to the aforementioned position of the right trachea that these secretions drain into the right lung where , if not addressed immediately , will eventually develop to pneumonitis . This is why it is important for the anesthesiologist to do post-operation rounds to access the pulmonary status of the patient (Foss NB , 2006 . These rounds should be made religiously within the next 7 days post-op in to achieve a proper day-to-day fulfil . If the condition is not recognized early , pneumonia sets inLet us look at the arterial blood gas results of our patient in chronology (Figure 1Parameters Normal Values On admission 2 days afterpH (indicates acidity , partial hydrogen 7 .35 7...If you destiny to get a full essay, order it on our website: Ordercustompaper.com

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