The ABC method is used to treat patients who arrive with shortness of breath and right rib discomfort. To assess the function of the airways, I place the patient in semi-fowlers position to aid lung expansion and improve breathing. To relieve the shortness, I’d assist the patient in sitting and examine his breathing rate. After cleaning out the wound, using an antiseptic solution, I will place clean gauze on the area to reduce bleeding. This is to keep the patient from introducing microorganisms through the open lesion. The clinical notes will include information about the patient’s blood pressure and pulse as well as the capillary refill times.
The patient will feel relief from rib pain. I’ll also give the required painkillers. The patient will be examined for their respiratory and circulatory system. I’ll also examine the functionalities, strength and ranges of motion of the musculoskeletal systems. A complete blood count will be done on the patient to determine whether there are any infections. A chest x-ray and CT scan will also be taken to check for fractures or other diseases. Hemost likely the patient is suffering from rib fractures. These can lead to complications such as pneumothorax (hemorrhage), and atelectasis. The client will need to be placed in bed and given the opioid painkillers. Cold patches should also be applied to any damaged areas. The chest imaging will show a hemothorax or pneumothorax. If this is the case, the client will need surgery to remove the fluid and air from their pleural cavities. This will allow the patient to expand his lungs optimally, as well as relieve any discomfort.
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