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.

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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