Mr. Agai, male, 71 yo, from Sukan, admitted in general hospital. Generally he looks uncomfort, c/o fever, pain in left hip since a week ago. His weight :
68 kgs and 167 cms height. Physically normal, communicate clearly and intact emotion. He walks by him self to the hospital. Orientation X4, uses glasses and the left ear not clearly hear. No sign of anemies and icterus as well. Skin warm and intact; no wound.
The past history are left hip replacement two years ago. Septic shock with left hip osteomyelitis last year, with subsequent removal of the hip replacement prosthesis. Allergies to meperidine hydrochloride (Demerol), morphine sulfate (MS Contin), and vancomycin hydrochloride (Vancocin)
His wife noticed a lump on his left hip that has increased in size over the past two weeks. The skin around the lump is red and swollen. Patient complains of increasing discomfort in his left hip. His wife became concerned when he felt warm and his temperature was 38.3°C so she brought him to the hospital. He is diagnosed with an abscess of his left hip. A needle aspiration of the abscess reveals 30 cc of purulent exudate. …show more content…
Agai is admitted for surgical incision and drainage of a suspected recurrence of osteomyelitis and for intravenous antibiotic therapy. The nurse reviews the client’s kardex and notes the dressing change prescribed is a dry sterile dressing to the left hip daily with reinforcement as needed. The nurse medicates patient with hydrocodone/acetaminophen (Vicodin) thirty minutes prior to the dressing change. While changing the hip dressing, the nurse notes there are seven intact sutures along the incision line, and a HemoVac drain is in place. Minimal drainage is noted at the incision site. The site is slightly swollen, but there are no signs of infection. The HemoVac has drained 30 cc of dark red blood. Mr. Agai tolerates the dressing change with minimal discomfort. He is afebrile at
68 kgs and 167 cms height. Physically normal, communicate clearly and intact emotion. He walks by him self to the hospital. Orientation X4, uses glasses and the left ear not clearly hear. No sign of anemies and icterus as well. Skin warm and intact; no wound.
The past history are left hip replacement two years ago. Septic shock with left hip osteomyelitis last year, with subsequent removal of the hip replacement prosthesis. Allergies to meperidine hydrochloride (Demerol), morphine sulfate (MS Contin), and vancomycin hydrochloride (Vancocin)
His wife noticed a lump on his left hip that has increased in size over the past two weeks. The skin around the lump is red and swollen. Patient complains of increasing discomfort in his left hip. His wife became concerned when he felt warm and his temperature was 38.3°C so she brought him to the hospital. He is diagnosed with an abscess of his left hip. A needle aspiration of the abscess reveals 30 cc of purulent exudate. …show more content…
Agai is admitted for surgical incision and drainage of a suspected recurrence of osteomyelitis and for intravenous antibiotic therapy. The nurse reviews the client’s kardex and notes the dressing change prescribed is a dry sterile dressing to the left hip daily with reinforcement as needed. The nurse medicates patient with hydrocodone/acetaminophen (Vicodin) thirty minutes prior to the dressing change. While changing the hip dressing, the nurse notes there are seven intact sutures along the incision line, and a HemoVac drain is in place. Minimal drainage is noted at the incision site. The site is slightly swollen, but there are no signs of infection. The HemoVac has drained 30 cc of dark red blood. Mr. Agai tolerates the dressing change with minimal discomfort. He is afebrile at