|Assessment |Medical/Nursing Diagnoses |Treatment | |Brief review of the patient |Medical Diagnoses: |Therapeutic Modalities | |Age: 86 years old |Admitting Diagnosis: |-Continuous vital | |patient has a history chronic respiratory |patient was ordered a sepsis bundle. |-Provide tracheostomy tube suctioning every 4 hours or as needed. | |failure and large right-sided CVA. He had a | |-Change PICC line dressing after first 24 hours and every 5-7 day or when visibly soiled following | |temperature of 101.8, pulse 110, BP 130/70, 02 |Urinary Tract Infection (UTI)- A UTI is an infection that |first dressing change to prevent infection. | |sat 90%, RR 25, and was dehydrated. His EKG |can happen anywhere along the urinary tract. UTIs can occur|-Empty and clean colostomy bag as needed. | |showed atrial fibrillation with rapid |anywhere in urethra, bladder, ureters, or kidneys. UTIs |-Reposition patient every 2 hours to prevent further skin breakdown. | |ventricular response. A urinalysis showed |usually result from bacteria that enter the urethra and |-Change wound VAC dressing every 72 hours toallow proper healing and to prevent infection. | |leukocytes esterase 3+, moderate blood, many |travel to the bladder. This leads to infection that can |-SCDs on while the patient is in bed to prevent
