Medical Diagnosis Cellulitis Assignment Help: How to Answer This Question
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Original Question
Medical Diagnosis: Cellulitis A.M. is 45 year old female who came to the clinic for complaints of a reddened area on her right leg. Has a history of a mosquito bit on the ankle over the weekend that was itchy. A.M. has a history of diabetes mellitus. A.M. is single and hikes with friends on the weekends. Nursing Assessment: A.M.’s lower left leg has an 8 cm diameter, reddened area near the ankle. The area is warm, edematous, tender, and firm to touch. The left lower leg is swollen compared to the right leg. Heart rate (HR) 96 beats per minute and regular rhythm. Blood pressure (Bp) 120/88. Respiratory rate (RR) regular rhythm 18 breaths per minute. Oxygen saturation (O2 sat) 99%. Temperature 101.6 F orally. A.M. states, “Pain is 5/10” pointing to the ankle. Oriented to person, time, and place, but states, “I just don’t feel right.” “it’s really itchy, but feels kind of numb.” Blood glucose 100. Diabetes is controlled with diet and the client states, “I really haven’t had any problems with it so far.” Skin color is otherwise normal for ethnicity, moist. Mucous membranes moist and pink. A.M. restless. The nursing assessment above took place on the due date at 1010. Additional Information for the documentation: The nurse elevates the leg and places the client in a comfortable position. The nurse calls the physician at 1025 requesting an IV, antibiotics, and intravenous fluids (IV) at 100 mL/hr and pain medication. The antibiotic and pain medication with antipyretic are administered immediately at 1045. An hour later, the client states the site is “better” 2/10 pain and the client urinates 150 mL clear yellow urine. Vital signs: HR 90, Bp 122/80, RR 18, Oxygen sat 98%, temp 100.4F Write a DAR communication for the above case study Patient Initials: __________ Age: ______ What is the focus/concern? D: A: R: S: Date & Time Focus Data, Action, and Response What is the focus/concern? D: A: R: S: Date & Time Focus Data, Action, and Response What is the focus/concern? D: A: R: S:
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