12TH CASE SCENARIO.(Nursing)Pyelonephritis.

Mr Lomos Davico

Medical # Q000099932

Admitted: 02/25/2006.

Unit : Medical/ Surgical floor.

CODE STATUS: Full Code.

Alert and Oriented x 4.

Patient came to the emergency room, complain of back pain(Right flank pain)

Admitting Diagnosis: Pyelonephritis, UTI.

PMH:Diabetes, Antibiotics resistant, kidney stones, ESBL in urine,right eye cataract, fever of unknown origin, depression. Hand held assistant to the bathroom.

ALLERGY: NKDA.

DIET: Advanced to Carb control diabetic diet(soft)

Blood Sugar Check: Qac and Qhs.

Medications:

Rocephin Antibiotic IV Q24hours.

Morphine 2mg IV Q4hours prn pain.

Norco 10/325mg po Q6hours prn pain with sips of water.

0.9NS at 75ml/hr Left AC.

Monitor for pain .

Monitor for temperature.

Notify the doctor if condition worsen.

Consults: General surgery consulted.Dr.Angry Works.

PLAN:

Discharge home if pain is under control with Keflex 250mg Q6hours by mouth × 10 days.

Norco 10/325mg po Q4hours prn pain.

Questions:

Why is patient placed on Rocephin?

What pain medications are recommended for patient.

How often is the blood sugar check?.

Published by edochie99

A Registered Nurse with over twenty years of hospital experience, an author with Masters Degree in Nursing,also Bachelor Degree in Nursing,graduated in 1996 from USC,University of Southern California.MSN in 2009 University of Phoenix.

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