Kategorier: Alle - anxiety - infection - surgery

af Terry Irwin 10 år siden

1217

Pediatric Concept Map

A sixteen-year-old male named Richard Bailey has been diagnosed with cellulitis, pulmonary emboli, and transient bacteremia following surgery on his septic knee joint. His treatment regimen includes a variety of medications such as a topical emollient for cellulitis, a stool softener to prevent constipation, an opioid/

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