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.