Mr A.J. 44years old man came into the Emergency room. Alert and oriented ×4 .Full code.
Diagnosis: Diabetic foot infection Right great toe and second toe abcess,blister pop opened.
Consultation: Podiatrist doctor consulted. ( Doctor Too Cute)
Adaptive dressing change Qday.
Incisions and drainage to be done at 1045am.
NPO after midnight.
Voiding with his urinal at bedside.
Laboratory in am: CBC with differential and Chem 7.
CHG bath given.
Blood sugar check Q6hours while NPO.
Vancomycin 750mg iv Q12hours.
Zosyn 375gm iv Q8hrs.
Norco 10/325mg 1 to 2tablets po Q6hours prn pain.
Morphine 2mg iv Q3hours prn pain.
Saline lock right ac.
0.9NS at 75ml/hr to be started after midnight.
Language Barriers: Spanish speaking only. Uses the blue phone for interpretation.
Diet: regular diet. NPO after midnight.
PLAN: Discharge home after surgery. No Medical insurance. (Undocumented)