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 JC is a 52 year old hispanic male who presented to the ER last evening for c/o pain in a wound on his right great toe. He claimed he dropped a large rock on his toe several weeks ago and sustained an open wound. The pain has been increasing over the last several days and he has been unable to get the pain under control. The client has been admitted to your medical-surgical unit for antibiotic treatment and surgical debridement of the diabetic ulcer on the right great toe. 

PMHX: Type II diabetes, hypertension and hyperlipidemia.

Final DX: diabetic foot ulcer requiring antibiotic treatment and surgical debridement.

The scenario will begin with the charge nurse giving students a report on the patient s/p surgical debridement last evening.

Chart

Name: Juan Carlos

Age: 52

Gender: Male

Weight: 111 kg

Height: 5 feet, 9 inches

Race: Hispanic

Religion: Catholic

Wife: (major support) – Maria Carlos

Allergies: NKDA

 

LAB DATA:

HgbA1C: 8.3

Glucose: 321

WBC: 16

Wound CX: Positive for Staph Aureus

 

Dextrose

Safe dose range: 
Acceptable routes and rates (if applicable): Dextrose can be administered by IV Push because Carlos is placed by IV with saline lock. 
Any critical assessment data (physical, labs, other medications, procedurally, interactions) you need to evaluate prior to giving this medication
How you will evaluate the effectiveness of the medication
How you will educate the client BEFORE administering this medication

 

 

SCIENCE
HEALTH SCIENCE
NURSING
NURSING 390

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