# data[].attributes.body
G.A is at risk for anxiety r/t fear of the unknown, lack of knowledge regarding symptoms, and potential inability to participate in extra-curricular activities.

# data[].attributes.body
How is G.A. coping?

# data[].attributes.body
G.A. and her sister are both involved in gymnastics and Jiu-jitsu weekly. With her broken arm, G.A. may not be able to participate --> disrupting her routine and social engagement with peers. This could have an impact on her psychological well-being.

# data[].attributes.body
A+O x3

# data[].attributes.body
When was the last medication given? What medication was given?

# data[].attributes.body
*The most common symptom of acute compartment syndrome is severe pain that doesn't improve after taking medication*

# data[].attributes.body
Name: G.A.

Gender: Female
Age: 7 years old
Weight: 28 kg
Allergies: NKA
Past Medical Hx: Previously Healthy

Primary Medical Diagnosis: Right radius and ulna fractures

# data[].attributes.body
Patient is at risk for compartment syndrome.

Cardinal signs: pain, paresthesia, polar, pallor, paralysis, and pulselessness.

How is her color? Warmth?

# data[].attributes.body
Right brachial pulse?

# data[].attributes.body
Pitting or non-pitting edema?

What grade? (1+ - 4+)

# data[].attributes.body
What date was the surgery? What date post-op am I caring for this patient?

# data[].attributes.body
PIV Saline lock to left hand.

# data[].attributes.body
Droplet and Contact precautions until swab comes back.

# data[].attributes.body
Patient unable to move fingers as afraid.

# data[].attributes.body
Erikson: Industry vs. Inferiority

Feel degree of inferiority regarding skills they cannot master.

Eagerness to develop skills and participate in meaning and socially useful work.

Peer approval is important.

Rules and rituals, team play

# data[].attributes.body
ORIF Right forearm

Cast to right arm.

# data[].attributes.body
Aunt lives next door with her family.

# data[].attributes.body
Patient is able to express her needs verbally and utilize the pain scale appropriately.

Supportive friends and family.

# data[].attributes.body
Family concerned.

Family also worried about being in the hospital during a pandemic (none of them have been vaccinated yet).

Would like to go home as soon as possible.

# data[].attributes.body
Lives with Mom, Dad, and older sister (12 years old).

Both parents work full time.

# data[].attributes.body
Numbness to right pinky and ring finger noted.

# data[].attributes.body
Pre- Surgery: X-ray shows fracture to both right ulna and radius bones.

Post-Surgery: X-ray shows pins used to secure bones during surgical repair.

# data[].attributes.body
Cast to right arm dry and intact.

# data[].attributes.body
Voiding normally as per patient.

# data[].attributes.body
Abdomen soft and flat. Bowel sounds present and active x4 quadrants. Last had a bowel movement yesterday.

# data[].attributes.body
RR: 22 (elevated)
O2 Sats: 99% on RA (normal)

Respirations easy and regular. No adventitious sounds heard throughout lung fields.

# data[].attributes.body
BP: 130/ 85 (elevated)
HR: 120 (elevated)
Cap refill: > 3 seconds (prolonged)

Edema present on right fingers.

Pedal pulses palpable and strong.

*Unable to assess right radial pulse d/t cast*

# data[].attributes.body
8/10 pain using numbers pain scale.

Throbbing pain to right arm.

# data[].attributes.body
Tylenol 10-15mg/ kg Q4H PRN
Advil 10mg/kg Q6H PRN
Morphine 5mg PO Q4H PRN
Morphine 1mg IV Q1H PRN