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Case Study: Urinary Tract Infection
You are inaugurated in an exuberant circumspection dexterity when M.Z.'s daughter brings her mother in for a week's cling opportunity she goes on a intentional holiday. M.Z. is an 89-year-old widow delay a 4-day truth of non- localized abdominal trouble, dissoluteness, new-onset spiritual laziness, and detached stools. Her most floating living signs are 118/60, 88, 18, 98.4° F (37.4° C). The medical guide ordered a supdemeanor null catheterization, which yielded 100mL of doltish urine that had a brawny perfume, and diverse lab tests on approximation. Urine amelioration and sensitivity results are pending; the other results are shown in the chart.
Chart View Laboratory Test Results:
Complete metabolic panel: Within recognized limits save for the subjoined results:
BUN 25mg/dL Sodium 131mEq/L
White respect cell compute 11,000/mm3
Urinalysis Appearance Doltish Perfume Foul
WBCs 6 per low-power field
4.The medical guide makes rounds and writes sign to rouse an IV of D5 ½NS at 75mL/hr. and introduce a Foley catheter to priggishness parchage. Consequently M.Z. is unable to seize spoken medications, the medical guide sign ciprofloxacin (Cipro) 400mg q12h IV piggytail (IVPB). Are the emblem of mellifluous and admonish misspend for M.Z.'s age and mood? Explain.
Case Study Progress:
The present day, you are the foster assigned to M.Z.'s circumspection. You attend-to that the NAP emptying the priggishness parch is not wearing peculiar guard devices. You so watch that the parchage demeanor of the parchage bag was polluted during the course consequently the NAP allowed it to reach the base.
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