My patient during my URN shadowing experience had celluloses In their left lower extremity with an ulceration below the knee, thus creating a portal of entry for the bacteria. Presence of black tissue around ulcer with purulent drainage. Redness to left lower extremity with warm scaly skin, tender, 3+ edema with diffuse borders. Patient showed signs of fatigue, general malaise, and muscle aches and pains. He had joint stiffness in affected extremity due to swelling of the tissue. Blistering was present on affected leg with leakage of serous exudates.
His white blood cell counts were elevated to compensate for the bacterial infection. C-reactive proteins were also elevated due to soft tissue inflammation. Compression socks were applied to affected extremity, immobilizers the leg and elevated on pillows while laying supine. He was treated with Monoclinic, which interferes with cell wall replication of susceptible organisms by binding to the bacterial cell wall. Also prescribed Protect, which inhibits ascending pain pathways in CONS, increases pain threshold and alters pain perception.
Area of rather was marked with a pen and circumference of leg was measured to observe if the cellists is spreading or if it is being resolved with treatment. Dressing was applied to ulceration below knee to maintain aseptic technique. Vital signs and lower extremity monitored and assessed every two hours to detect early changes in patients condition, with temperature being monitored closely. Encouraged increased fluids to replace any loss, dehydration occurs more deadly in elderly patients.
Accurate documentation of a focused assessment on the patient was charted and changes in condition were reported by staff nurse to doctor. We was able to address every area In the article when providing care to patient. Patient was educated on their condition and the Importance of continued skin care to maintain recovery and gain optimal functioning In affected extremity, and how failure to respond to prescribed treatment may lead to abscess formation, sepsis, storytelling, and tissue death.
The article addressed the acronym “HAMMER”, which Is to hydrate, provide analgesics, monitor Pyrex, mark off the area, measure the circumference of the limb, elevate the limb, and record the site. I believe we covered all six of those bases during our focused assessment. Cellists By arrange ulcer, or from furnaces or carbuncles. The infected area is warm, erythrocytes, swollen, and painful. The infection is usually in the lower extremities and responds to systemic antibiotics, as well as therapy to relieve pain.
Cellists can also be associated with other diseases including chronic venous insufficiency and stasis dermatitis. My patient during my URN shadowing experience had cellists in their left had Joint stiffness in affected extremity due to swelling of the tissue. Blistering was We was able to address every area in the article when providing care to patient. Patient was educated on their condition and the importance of continued skin care to maintain recovery and gain optimal functioning in affected extremity, and how failure is to hydrate, provide analgesics, monitor Pyrex, mark off the area, measure the
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