458 CASE SCENARIO. LEFT PERIORBITAL CELLULITIS. (INFECTION OF THE LEFT EYELID)

KINGDOM OF GOD HOSPITAL, LOS ANGELES,CA 900000.

INTERDISCIPLINARY KARDEX. Age/Sex:40years.

Account number: Q666000444354.

MR# Q000878664532.

Location Opthomology department 6th floor. Room 630016.

Patient Name: Freshisher,Fish.

Attending doctor: Landis Godi.

Secondary diagnosis: Hypertension, diabetes type 2.

Isolation status: Standard precautions.

Is patient at risk for falls No.

Is patient at risk for suicide No.

Do you have advanced Directive No.Copy of advanced Directive on the chart.

Allergy: NKDA.

Diet Carb control diet.

Laboratory tests:

Lactic acid =3.5.

WBC 12.0.

H/H 20.1 28.8%.

NA 137.

K= 4.0.

Medications:

Lactate Ringer(LR) 500ml IV bolus ×1 given

NS at 75ml/hour right ac via pump.

Zosyn 3.375gm IV Q8hrs.

Tylenol 650mg po Q6hours prn temperature. Accucheck Qac/Qhs.

Kidney ultrasound done.

Consultations:

Infection disease consult.

Case manager consulted, social worker consult.

Nutrition consult for newly diagnosed with diabetes.

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.

Leave a comment

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

This site uses Akismet to reduce spam. Learn how your comment data is processed.

%d bloggers like this: