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Patient Introduction
Marilyn Hughes is a 45-year-old female who suffered a left
mid-shaft tibia-fibula fracture when she slipped on icy stairs
this morning. She was taken to surgery for an open reduction
with internal fixation (ORIF). She returned from surgery at 1:45
p.m. with a below-the-knee ace/splint dressing. Vital signs have
been stable, and neurovascular checks have been within normal
range. She has an IV of Lactated Ringer’s infusing at 75
mL/hour and is tolerating liquids well without nausea. Her diet
could probably be advanced to regular dinner this evening. A
family member has been with her at the bedside throughout the
day. She began complaining of pain shortly after returning from
surgery and was given morphine 6 mg IV at 2:15 p.m. She is
now on every-30-minute postoperative vital signs. Last vital
signs were BP: 130/82, HR: 88, RR: 16.

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Patient IntroductionMarilyn Hughes is a 45-year-old female who s

  • 1. Patient Introduction Marilyn Hughes is a 45-year-old female who suffered a left mid-shaft tibia-fibula fracture when she slipped on icy stairs this morning. She was taken to surgery for an open reduction with internal fixation (ORIF). She returned from surgery at 1:45 p.m. with a below-the-knee ace/splint dressing. Vital signs have been stable, and neurovascular checks have been within normal range. She has an IV of Lactated Ringer’s infusing at 75 mL/hour and is tolerating liquids well without nausea. Her diet could probably be advanced to regular dinner this evening. A family member has been with her at the bedside throughout the day. She began complaining of pain shortly after returning from surgery and was given morphine 6 mg IV at 2:15 p.m. She is now on every-30-minute postoperative vital signs. Last vital signs were BP: 130/82, HR: 88, RR: 16.