CASE SCENARIO. 487 INFECTED GRAFT SITE/ MRSA OF BLOOD/NARES.

KINGDOM OF GOD HOSPITAL LOS ANGELES,CA 900000.

INTERDISCIPLINARY KARDEX.

AGE/SEX 68years Man.

Account number: Q00269644.

MR#: Q0006999376.

Admission date: 04/13/2021 @0420am.

Location: MedTelemetry.

Room:42114.

Attending doctor: Tumtum,Worry.

Patient name: Sameday Davis.

Resuscitation Status:Full Code.

Allergy: NKDA.

Primary diagnosis: Infected graft site.

MRSA of blood/nares.

Secondary diagnosis: dm,htn,hypothyroidism, ESRD,stage 11 pressure ulcer in coccyx area.Ejection fraction of 30%.

Isolation Status: ContactIsolation.

Do you have advance Directive:No.Copy of advance Directive on the chart.

Is patient at risk for falls: No.

Suicidal risk: No.

Family member son:Alex Sameday .

Phone number 909-000-0000.

Diet : Renal carb controlled diet.

Plans:

Infected Quinton catheter removed from right groin. Permacath placement tomorrow. Dressing change with Aquacel robe cover with abdominal dressing with Myperlix in place.

Hemodialysis Monday-Wednesday- Friday. Patient on Hemodialysis dietary:90gprotein,3gNa,3k,1g.

Not on dialysis: 60g protein, 2gNa,2gk,1g phos.

Laboratory tests:

WBC:13.9.

H/H8.3/30.8%.

K=3.8%.

Na:138.

Medications: Vancomycin 1gm IV during Hemodialysis.

Zosyn 3.375gm IV Q8hrs.

Norco 10/325mg po Q4hours prn pain. Morphine sulfate 2mg IV Q8hrs prn pain. Accucheck Qac/Qhs.