Raghad1419

@Rose_Queen this it the diagnosis Acut Pain r/t chest surgery e/b Autonomic response Ineffective breathing pattern r/t decreased lung expansion evidence by tachypnea Hyperthermia R/T increase in metabolic rate : sepsis as evidence by body temperature 38 + tachypnea Impaired tissue integrity r/t trauma Evidence by damaged tissue Risk for decreased cardiac output related to mechanical ventilator

PLEASE HELLPP ME ?

I need nursing diagnosis, please, I'm searching for something but I'm not sure if it's right or wrong ?

Admitted 22 years old male patient due to Traffic Road Accident, unconscious, patient attached to cardiac monitor, his initial vital signs are: heart rate 147 beats per minute, blood pressure 82/41 mmHg, respiratory rate 24 and oxygen saturation of 90%, the patient was found on chest radiography to have several broken ribs and hemothorax. The physician placed a large bore chest tube in order to drain the blood and 900cc of blood was evacuated in pleural vac, CT scan revealed that the patient has spleen injury, patient was taken to operating room for thoracotomy, in the operating room patient received 5 units Packed Red blood cells and 3 units frozen plasma. After operation he was admitted at ICU on ventilator machine with Vital signs of BP 110/70, RR 24,HR 110,and temperature 38 degrees, chest tube output, 60cc/hour. Medication given was aeknil 300 mg iv every 4 hours, cefuroxime 500 mg iv every 8 hours. Latest Laboratory results WBC 14.5 K/uL RBC 3.68 M/uL Hemoglobin 9 g/dL Hct 35 % Platelet 153 K/uL what the NCP for this patient ?