Final answer:
Anticipate potential complications of a fractured pelvis to include nerve damage, shock, and internal organ damage. Given the patient's age, risks are elevated. Management requires immediate and ongoing medical attention.
Step-by-step explanation:
The complications you should anticipate after a patient suffers a tractor rollover that leads to a suspected fractured pelvis include damage to the nerves of the lower extremities, shock, and damage to internal organs. These are all potential outcomes because the pelvis is a structure that not only supports the body's weight but also houses and protects many vital organs and nerves.
Given that the patient is 70 years old, the risk of complications is likely higher due to potential underlying conditions like osteoporosis, which can cause more severe fracture consequences. The fractured pelvis could lead to severe bleeding and injury to internal organs, which can result in shock – a life-threatening condition that occurs when organs and tissues don't get enough blood flow. Damage to nerves can cause loss of sensation and control over lower extremity functions. Additionally, due to immobility during the recovery process, the patient is at risk of developing deep vein thrombosis, pulmonary embolism, pressure sores, and other complications associated with being bedridden.
It is essential to manage these complications with prompt and appropriate medical intervention, including stabilization, pain management, and possibly surgery. Continuous monitoring for signs of internal bleeding, nerve damage, and shock is paramount to the patient's recovery journey.