529 CASE SCENARIO. RIGHT HAND CELLULITIS. S/P I& D.

Cellulitis is a bacteria infection of the skin and subcutaneous tissue caused by Staphylococcus aureus or streptococcus due to poor circulation, open cut or wound,damaged skin or diabetes mellitus,ivp drug use,lymphedema etc.

Signs and Symptoms are redness, swelling, diffuse,sometimes blister,inflammation, painful, warm to touch,tender, fever,sometimes headache and Chills.

Treatments are as follows:

1.Antibiotics as prescribed by the doctor.

2.Elevate affected extremities on pillows.

3.Warm soaks of affected area. ( Possible sitz bath)

4.Avoid pressure on affected area.

KINGDOM OF GOD HOSPITAL LOS ANGELES CALIFORNIA 900000.INTERDISCIPLINARY KARDEX. Age/Sex: 50years old Female.

Account number Q005634372.

MR # Q00069593424.

Admitted date: 04/17/2021@03am.

Status: Inpatient admit.

Location : MedTelemetry.

Room : 42114.

Attending doctor : Tommy Holbib.

Patient name: Ukwaline Joseph.

Resuscitation Status : Full code.

Primary diagnosis: Right hand Cellulitis, s/p I& D right hand. (Fever,temperature 101°f,redness,swelling, painful, warm and tender to touch)

Secondary diagnosis: Hypertension, Osteoarthritis.

Height : 5feet 3inches.

Alert and oriented x4.

Allergy: NKDA.

Diet: Cadiac Heart health diet.

Risk for fall: No.

Do patient have advance Directive: No.

Copy of advance Directive on the chart. Isolation Status : Standard Precautions.

Risk for suicide: No.

Doctor orders:

CT scan of the right hand shows Abcess to distal posterior forearm. I&D done.

Wound culture done shows positive for Staphylococcus aureus.

Norco 1tablet 10/325mg po Q4hours.

Dilaudid 0.5mg IV Q4hours prn severe pain.

Zofran 4mg IV Q4hours prn nausea/Vomiting. Ancef 2gm IV Q8hours.

Zosyn 3.375gm IV Q8hours.

Motrin 400mg po Q4hours prn temperature 🌡Tylenol 650mg po Q4hours prn temperature/ mild pain.

Sitz bath Q8hours.

Dressing change Q8hours.

Laboratory tests in am.

Plastic Surgery consult doctor Jihad,David.

Infection disease consult: doctor Hussain Anderson.

Discharge plan:

Change antibiotics to po.

Discharge when temperature is below 99.5°f x24hours.

Follow up with Primary care physician in two weeks.

Hand Celluitis.

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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