544 CASE SCENARIO.ABDOMINAL CELLULITIS / PEG TUBE SITE.

Cellulitis is diffuse acute infection of the skin and subcutaneous tissue.

Characterized by localized heat pain,swelling, redness and occasionally by fever,malaise, Chills, headaches.

If antibiotics are not given Abcess and Tissue destruction will follow. Infection will quickly develop in damage skin,in diabetes Mellitus patients or patients with poor circulation. TREATMENT:

Antibiotics.

Warm soakes.

Keeping areas clean and dry.

Prevention of pressure on affected site.

If it is extremities,elevate the extremities.

KINGDOM OF GOD HOSPITAL LOS ANGELES CALIFORNIA 900000.INTERDISCIPLINARY KARDEX.

Age/ Sex: 72years.

Account number: Q001665897.

MR #:Q00049593429.

Admitted date : 06/12/2020 0450am.

Location : General Surgery.

Room : 62114.

Resuscitation status: Full Code.

Weight: 158.

Height: 5feet 8inches.

Alert and oriented x4.

Preferred language: English.

Support system: Family.

Primary diagnosis: Abdominal Cellulitis/Peg tube site.

Secondary diagnosis: Hypertension/ CVA,Left side weakness/ Flaccid.

Isolation Status: Contact Isolation.

Is patient at risk for fall : Yes.

Do patient have advance Directive: No.

Copy of advance Directive on the chart.

Diet: NPO.Strict.Hold tube feeding.

Glucerna 1.5 at 55ml/hour.

Flush with 10ml of water.

Plavix 75mg peg tube 09am scheduled.

02 @2liter NC.

Transportation method: Stretcher.Skin intergrity impaired: yes.

Allergy: NKDA.

Is patient at risk,for fall: Yes .

Fall prevention protocol in place( Yellow sign on the door, Yellow armband, yellow gown and yellow socks)

Do patient have advance Directive:No.

Copy of advance Directive on the chart.

Isolation Status: Contact Isolation.

Turn and reposition Q2hours for comfort and pressure redistribution.

Clean peg tube site and apply dressing as ordered by the doctor.

Discharge plans: Discharge th Skilled Nursing Facility when medically stable for transfer.

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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