476 CASE SCENARIO RIGHT HAND CELLULITIS.

KINGDOM OF GOD HOSPITAL, LOS ANGELES,CA 900000. INTERDISCIPLINARY KARDEX.

Age/Sex 59years Male.

Account number :Q00369692.

MR# Q0006999324.

Admission date:06/03/21 @1300.

Status: Inpatient admission.

Location MedTelemetry.

Room 42115.

Attending doctor: Tumtum,Worry.

Patient name: Hotelier, Jonnyboy.

Allergy : NKDA.

Height: 5feet 8inches.

Weight : 140lbs.

Resuscitation Status: Full Code.

Primary diagnosis: Right hand Cellulitis. (Right hand swollen and red) Secondary diagnosis : Hypertension.

Isolation Precautions:Standard Precautions.

Is patient at risk for falls : No.

Do you have an advance Directive: No.

Copy of advance Directive on the chart.

Room Air saturation of 98%.

Risk for Suicide: No.

Skin integrity impaired: Yes.

Diet: Regular diet.

Medication reconciliation done.

Medications:

Zosyn 3.375gm IV Q8hrs.

Norco 10/325mg po Q4hours prn pain. Morphine 2mg IV Q3hours prn pain.

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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