Diminished pedal pulses to left lower extremity, no palpable pulse to right lower extremity. Skin is warm to touch on left Low Extremity, cool to right Low Extremity. Blood glucose 288. 1.What signs and symptoms are of concern in this patient's presentation? 2.What could these be telling you is happening to patient? 3. Of the concerning symptoms, which of these is a priority? Please explain your answer. 4. What can we do
An 82-yr old female was admitted to the orthopedic unit with a righ hip fracture, sustained from a mechanical fall at home. Daughter at the bedside states, " She has a history of osteoporosis." Patient has been taking alendronate, and calcium/vitamin D supplements. History also suggests that she has diabetes(type 2). Daughter states, " She isn't on any insulin, but takes pills to control her sugar." She depends on her daughter, neighbors, and church group to help her with transportation, errands, etc. She is ADL independent. No history of dementia. She is status post open reduction internal fixation fixation (ORIF) of the right hip. AAOx2. Vitals: T100.3, P92, R14, BP 166/90, SPO2 95 (on 2L NC). Breath sounds clear to auscltation. Bowel sounds hypoactive to all 4 quadrants. Noted dressing to lateral aspect of right hip. No noted edema on palpation. Diminished pedal pulses to left lower extremity, no palpable pulse to right lower extremity. Skin is warm to touch on left Low Extremity, cool to right Low Extremity. Blood glucose 288. 1.What signs and symptoms are of concern in this patient's presentation? 2.What could these be telling you is happening to patient? 3. Of the concerning symptoms, which of these is a priority? Please explain your answer. 4. What can we do to stabilize this patient? Why?
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4. What can we do to stabilize this patient? Why?
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