Richard Bailey - 16 Yr old male - Cellulitis, Pulmonary Emoboli, and Transient Bacteremia - Post Surgical Septic Knee Joint

Labs

PT/INR/aPTT

Hgb / Hct

D-Dimer / Fibrinogen

Blood Cultures

IV Access

PICC line left brachial

Radiology

CT Scan for Chest

Ambulation as tolerated

CPM - 8 hrs Qday

L Knee Brace continuous when not in CPM

Non-Weight Bearing Left Leg until drains removed

Nursing Diagnosis

1. Risk for Impaired Gas Exchange

2. Risk for Infection

3. Altered Family Process

I & D

aspiration of left knee

screw replacement ACL/Meniscus repair

Drains placed bilaterally on left knee

Enoxaparin (Lovenox)

Low Weight Heparin to prevent blood clots

Topical Emollient (Eucerin)

topical ointment for cellulitis

Oxacillin

antibiotic for bacterial infection

Norco

Opioid/Acetaminophen analgesic combo for pain

Senna docusate

Stool softener to prevent constipation

Left Knee Surgery to repair ACL/meniscus

Fever over 102.5

Increasing Pain for 3 days

In Bed, not moving around

Celiacs Disease

Pulmonary Embolism upon admission

Allergies

Coconut, Nuts, Gluten, Latex, Penicillin, ceftriaxone (Rocephin)

Fever

102.5

Level of Conciousness

Work of Breathing

Chest Pain upon Deep Breathing

Anxiety

Feels Lonely and Anxious being in the Hospital

Bacterial Infection

Post Surgical Knee Joint Infection

Cellulitis above incision

Pulmonary Emobli

Found due to inactivity

Mother - Primary Care Giver

Father - Secondary Care Giver

Sister - 10 year old