Age/ Sex : 69years. Female
Code Status: Full code.
Isolation Status: Contact Isolation.(MRSA wound)
Advanced directive NO.Copy of Advanced Directive on the chart.
02 at 4LNC.
weight : 180lbs,Height: 5ft 2inches.
High risk for fall yes.
Diet: Carb control Cadiac diet.
Alert and oriented ×4.
Left lower extremity 2+ edema.
SCD to left lower Extremity.
Wound culture done + for staphylococcus aureus. Antibiotics sensitivity.
Bun: 22,Creatinine =1.3.
Purwick started today at 6pm.
No bowel movement today.
Right ac saline lock.
Vancomycin 1gm Q12hours at 1800.
Norco 10/325mg po Q6hours prn pain.
(TPC02 less than 40%)
NPO after midnight.
D5w @ 75ml/hour.
Possible below the knee amputation of right lower Extremity.
Consent for blood and surgery signed.
Difficult patient must not disturb patient from midnight to 06am.