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    Critical Care Concept Map

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    api-599696709
    This critical care concept map summarizes the care of Abigail Sudano, who was admitted to the ICU following a motorcycle accident. She sustained multiple traumatic injuries including a traumatic brain injury, fractures of the left scapula and right clavicle, hemorrhagic shock, and respiratory failure requiring intubation. Her critical care needs included management of impaired mobility, imbalanced nutrition, acute pain, ineffective airway clearance, risk of infection, and impaired skin integrity due to her multiple injuries and surgeries. The concept map identifies her problems, goals of care, predicted outcomes, and nursing interventions to address each problem area.

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    Critical Care Concept Map

    Uploaded by

    api-599696709
    64 views2 pages
    This critical care concept map summarizes the care of Abigail Sudano, who was admitted to the ICU following a motorcycle accident. She sustained multiple traumatic injuries including a traumatic brain injury, fractures of the left scapula and right clavicle, hemorrhagic shock, and respiratory failure requiring intubation. Her critical care needs included management of impaired mobility, imbalanced nutrition, acute pain, ineffective airway clearance, risk of infection, and impaired skin integrity due to her multiple injuries and surgeries. The concept map identifies her problems, goals of care, predicted outcomes, and nursing interventions to address each problem area.

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    This critical care concept map summarizes the care of Abigail Sudano, who was admitted to the ICU following a motorcycle accident. She sustained multiple traumatic injuries including a traumatic brain injury, fractures of the left scapula and right clavicle, hemorrhagic shock, and respiratory failure requiring intubation. Her critical care needs included management of impaired mobility, imbalanced nutrition, acute pain, ineffective airway clearance, risk of infection, and impaired skin integrity due to her multiple injuries and surgeries. The concept map identifies her problems, goals of care, predicted outcomes, and nursing interventions to address each problem area.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    64 views2 pages

    Critical Care Concept Map

    Uploaded by

    api-599696709
    This critical care concept map summarizes the care of Abigail Sudano, who was admitted to the ICU following a motorcycle accident. She sustained multiple traumatic injuries including a traumatic brain injury, fractures of the left scapula and right clavicle, hemorrhagic shock, and respiratory failure requiring intubation. Her critical care needs included management of impaired mobility, imbalanced nutrition, acute pain, ineffective airway clearance, risk of infection, and impaired skin integrity due to her multiple injuries and surgeries. The concept map identifies her problems, goals of care, predicted outcomes, and nursing interventions to address each problem area.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Abigail Sudano

    Critical Care Concept Map

    Fall 2021

    Dr. Cynthia Shields, Shareece Mashiska (RN)

    Key Problem: Key Problem: Key Problem:


    Impaired physical mobility Imbalanced Nutrition Acute Pain
    • Sedated • Intubated, sedated • Respiratory rate 27
    • Intubated • Tube feed via PEG tube • HR: Sinus tachycardia
    • Fracture of left scapula and • Albumin 3.4 • Profuse sweating
    right clavicle • Total Protein 5.2 • Restlessness with sedation
    • Left hemopneumophorax • Inability to eat weaning trials
    • Completely dependent for • Traumatic brain injury • Multiple traumatic injuries
    all ADL’s

    Key Problem:
    Self Care Deficit
    • Admitted due to trauma Key Problem:
    Reasons for Needing Health Care: Risk for Increased
    • Heavily sedated
    Trauma due to Motorcycle Accident Intracranial Pressure
    • Bed rest with mechanic
    Traumatic Brain Injury • Continuous intracranial
    ventilation
    Splenic artery injury ICP monitor
    • Incontinent of stool, foley
    Grade 1 Liver Laceration • Craniotomy with partial
    catheter
    Hemopneumothorax removal of skull
    • Unable to make medical
    Fractures: left scapula and right clavicle • Traumatic brain injury
    decisions
    ARF and intubation • Periods of hypertension
    • Fracture of left scapula
    Hemorrhagic shock • Increased WBC
    and right clavicle

    Key Problem:
    Ineffective Airway
    Clearance Key Problem:
    Key Problem: Impaired skin/tissue
    • ETT tube with suctioning Risk of Infection integrity
    • Thick, yellow and bloody • WBC Increased- 21.5 • Multiple surgical sites-
    secretions • Skin and tissue damage from abdomen, skull, chest tube
    • ABGs: pH 7.24, PCO2 trauma • Multiple lacerations along
    32.8, PO2 76.4, HCO3 • Surgeries- craniotomy, face and extremities
    21.7 splenectomy, chest tube, G- • Swelling
    • Lung sounds diminished Tube placement • Skin turgor >2 seconds
    with crackles and rhonchi • Picc. Line • Dehydration
    • Hemopneumothorax
    Problem # _______:
    General Goal:

    Predicted Behavioral Outcome Objective (s): The patient will……

    on the day of care.

    Nursing Interventions Patient Responses

    1. 1.
    2. 2.
    3. 3.
    4. 4.
    5. 5.
    6. 6.
    7. 7.
    8. 8.

    Evaluation of outcome objectives:

    Problem # _______:
    General Goal:

    Predicted Behavioral Outcome Objective (s): The patient will……

    on the day of care.

    Nursing Interventions Patient Responses

    1. 1.
    2. 2.
    3. 3.
    4. 4.
    5. 5.
    6. 6.
    7. 7.
    8. 8.
    Evaluation of outcome objectives:

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