Sally Gray Year Question & Answer Guide (With Explanation)

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What This Question Is About

This question relates to sally gray year and requires a structured academic response.

How to Approach This Question

Break the problem into smaller parts and analyze each logically.

Key Explanation

This topic involves sally gray year. A strong answer should include explanation, application, and examples.

Original Question

Sally Gray is a 23-year-old woman who has been brought to the Emergency Department (ED) you are working in, by ambulance. Sally was surfing in a nearby beach when the wave she was riding caused her to launch approximately 10 metres in the air. Sally was witnessed to fall straight down landing on her head on firm sand. Paramedics responded quickly, assessed Sally and after undertaking primary assessment and stabilisation have taken her as a priority to your ED. They have applied a hard cervical collar and have inserted two large bore cannulae – one in each ante-cubital fossa. In addition to the history above the provide the following vital signs: Respiratory Rate 16rpm, SaO2 94% Blood Pressure 86/60, Heart Rate 45bpm, capillary refill > 4 secs Glasgow Coma Scale 12 /15 (Eyes – 3, Verbal – 4, Motor – 5) Swelling over C4/5 QUESTION- 1. Discuss the primary survey for the patient with multiple injuries and explain how it should be carried out in Sally’s case. You should include an explanation of each step and why it is taken. Are there any specific considerations the team should be mindful in Sally’s case? 2. Following the primary survey, the team note that Sally has a patent airway, they are not concerned about her breathing, however they confirm the findings of the paramedics and note that she is hypotensive and bradycardic, her GCS remains at 12/15. The senior doctor asks the team to undertake a secondary survey What is a secondary survey and how does it differ from a primary survey? 3. Following appropriate management, Sally’s vital signs are as follows: Respiratory Rate 16rpm, SaO2 94% Blood Pressure 110/60, Heart Rate 90bpm, capillary refill > 4 secs Glasgow Coma Scale 13 /15 (Eyes – 3, Verbal – 4, Motor – 6) Discuss what the nursing priorities of care are for Sally, now that her condition is relatively stable? 4. Sally is at risk of developing autonomic dysreflexia in the future. Discuss the causes, signs and pathophysiology of this phenomenon.

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