Case Study: Utilizing Soft-Tissue Infection At Surgical Site

Recommended Testing Lactate Level
Blood Cultures X 2 (Different Sites) - Prior to initiating antibiotics
Culture Surgical Site and Gram Stain
Complete Blood Count with Differential (CBC)
Complete Metabolic Profile (CMP)
Blood Glucose Monitoring
Prothrombin Time (PT) and International Nectrotizing Ratio (INR)
Activated Partial Thromboplastin Time (aPTT)
Urinalysis (UA) and Culture
CT Abdomen/Pelvis
Radiograph of Right Lower Extremity
The given scenario leads this writer to pursue aggressive treatment for the management of sepsis secondary to the risk of necrotizing soft-tissue infection at surgical site. In doing so, this writer deems the following diagnostic tests necessary to initiate appropriate lifesaving therapies. First, this writer
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National Library of Medicine, 2016). Included in a CMP are lab values which are useful in diagnosing conditions such as diabetes, liver disease, and kidney disease. Dr. Andre Kalil states regular CMP assessments should be carried out by measuring serum levels of electrolytes, including magnesium, calcium, phosphate, and glucose. Sodium and chloride levels are abnormal in patients suffering from severe dehydration. Studies have also shown higher mortality rates in hyperglycemic patients. So tight glucose control, as well as electrolyte balance, is imperative in the management of sepsis (Kalil, …show more content…
Studies have shown that Amercian’s trust in medical professionals have plummeted in recent years (Harding, 2014). The lack of trust has developed as a result of how Americans perceive the doctor’s motivation. The rising costs of medical treatment and medicines contribute to the poor perception of the doctor’s motivation. U.S. physician groups could possibly improve their image in American’s eyes by banding together and taking stands on important issues, such as the need to bring down health care costs. Although physicians have largely been absent from these discussions. For these reasons, White Americans tend to be less trusting and may want second opinions from multiple medical professionals. When approaching members of white-American culture, medical professionals may need to support their diagnoses and opinions with more background and facts as opposed the approach with Jewish

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