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?.