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Awaiting COVID-19 swab

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Xray shows fracture to both right ulna and radius bones pre-surgery. Post surgery xray shows pins used to secure bones during surgical repair.

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Mom is worried about child's wellbeing demonstrating a caring maternal relationship.
Patient expresses insight to situation.
Has 2 parents to care for her.
Previously healthy child.

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Mother, father, older sister.
Mother is concerned about how the arm will heal.
Mother worried about being in the hospital during a pandemic-- wants to leave hospital ASAP.

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Online nursing services to check in with recovery concerns.
Grandma living in house for extra care.
** ^^THIS IS MADE UP **
Live close to hospital incase of issues with recovery.

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***Bruising to arm ***

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Abdomen soft and flat. Bowel sounds present and active x4 quadrants. Last had a bowel movement yesterday.

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Voiding normally as per patient.

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A+Ox3
Temp 37.2

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Fingers to right hand very swollen.
Some numbness to pinky and ring finger.
Cap refill > 3 seconds.  Unable to assess right radial pulse due to cast.
Pedal pulses palpable and strong.
BP: 130/85.
Heart rate: 120.
PIV Saline lock to Left hand.

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Respirations easy and regular.
No adventitious sounds heard throughout lung fields.
RR: 22.
O2 sats 98% on room air. Occasional non-productive cough heard.

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Tylenol 10-15mg/kg q4h PRN

Advil 10mg/kg q6h PRN

Morphine 5 mg PO q4h PRN

Morphine 1 mg IV q1h PRN

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8/10-- numbers pain scale
Throbbing pain to right arm

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G.A
7 years old
Female
28kg
Right radius and ulna fracture
ORIF.
Possible contact with Covid-19