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20 May, 08:19

A client is admitted after a motor vehicle crash. the primary healthcare provider has diagnosed the presence of pelvic fractures and bilateral femur fractures. the client's blood pressure has fallen from 121/78 to 62/44 mm hg and the heart rate has risen from 78 to 128 beats/min. the nurse knows that which parenteral replacement fluids is the most appropriate for this client?

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  1. 20 May, 09:22
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    This is a trauma patient secondary to motor vehicle accident. This patient presents with pelvic fractures and bilateral femoral fractures. This patient also presents with hypotension and tachycardia which is the early signs of shock. Pelvic fractures account for one of the most common causes of hidden massive internal hemorrhage. From this, the patient may have been suffering from hypovolemic shock secondary to massive blood loss. The patient should be transfused whole blood products as soon as possible; and be referred for an emergency operation to repair fractures and stop the bleeding.
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