作者：Terry Irwin 11 年以前
1331
Pediatric Concept Map
Richard Bailey - 16 Yr old male - Cellulitis, Pulmonary Emoboli, and Transient Bacteremia - Post Surgical Septic Knee Joint
Family
Sister - 10 year old
Father - Secondary Care Giver
Mother - Primary Care Giver
Pathophysiology
Pulmonary Emobli
Found due to inactivity
Bacterial Infection
Cellulitis above incision
Post Surgical Knee Joint Infection
Growth and Development
Anxiety
Feels Lonely and Anxious being in the Hospital
Vital Signs
Chest Pain upon Deep Breathing
Work of Breathing
Level of Conciousness
Fever
102.5
Patient History
Allergies
Coconut, Nuts, Gluten, Latex, Penicillin, ceftriaxone (Rocephin)
Pulmonary Embolism upon admission
Celiacs Disease
Increasing Pain for 3 days
In Bed, not moving around
Fever over 102.5
Left Knee Surgery to repair ACL/meniscus
Pharmacology
Senna docusate
Stool softener to prevent constipation
Norco
Opioid/Acetaminophen analgesic combo for pain
Oxacillin
antibiotic for bacterial infection
Topical Emollient (Eucerin)
topical ointment for cellulitis
Enoxaparin (Lovenox)
Low Weight Heparin to prevent blood clots
Surgical Intervention
I & D
Drains placed bilaterally on left knee
screw replacement ACL/Meniscus repair
aspiration of left knee
Nursing Interventions
Nursing Diagnosis
3. Altered Family Process
2. Risk for Infection
1. Risk for Impaired Gas Exchange
Ambulation as tolerated
Non-Weight Bearing Left Leg until drains removed
L Knee Brace continuous when not in CPM
CPM - 8 hrs Qday
Radiology
CT Scan for Chest
IV Access
PICC line left brachial
Labs
Blood Cultures
D-Dimer / Fibrinogen
Hgb / Hct
PT/INR/aPTT
