Room 370 Case Study
Chief Complaint: The patient pulled out his suprapubic catheter.
History of Present Illness (discuss clinical course from admission until current date):
On 10/10/17, Room 370 who is a 65-year-old male was admitted into the hospital because his suprapubic catheter came out. He was admitted in the emergency department to have his catheter replaced. His brother says he checks on him often, and he has been doing good for the last few months. According to his brother, there has been no change to his medical condition. However, labs were done, which revealed Hypernatremia and an increased in blood urea nitrogen (BUN). Based on these results, Room 370 is dehydrated. His brother said he has not had any diarrhea or excessive sweating. Room 370 cannot communicate anything beyond an occasional yes or no. Room 370 finished a course of Levaquin for what appears to be a urinary tract infection (UTI). The plan is to start him on Zosyn as soon as possible. The order for Zosyn will be effective until the culture is negative.
On 10/11/17, Room 370 feels okay, and his daughter has been in the room with him. The CT scan revealed an outlet obstruction in Room 370. Room 370 was placed on antibiotics, and his IV Levaquin has been switched out to Zosyn. Most importantly, Room 370 has an appointment to …show more content…
He is nonverbal, and aphasic. Room 370 has a PEG-Tube and he cannot swallow safely. He is non-ambulatory and cannot move his right arm. Room 370’s close family members have had meetings with palliative care. At the last palliative care meeting, Room 370 indicated that he would want CPR, but his brother said he would not want to be kept on a machine for more than two weeks. Room 370’s past medical histories include: multiple strokes, vertigo, HTN, benign prostate hypertrophy (BPH), diabetes mellitus type 2, which Room 370 is currently taking insulin for, vitamin D deficiency, diabetic neuropathy, chronic kidney disease stage 3, and
History of Present Illness (discuss clinical course from admission until current date):
On 10/10/17, Room 370 who is a 65-year-old male was admitted into the hospital because his suprapubic catheter came out. He was admitted in the emergency department to have his catheter replaced. His brother says he checks on him often, and he has been doing good for the last few months. According to his brother, there has been no change to his medical condition. However, labs were done, which revealed Hypernatremia and an increased in blood urea nitrogen (BUN). Based on these results, Room 370 is dehydrated. His brother said he has not had any diarrhea or excessive sweating. Room 370 cannot communicate anything beyond an occasional yes or no. Room 370 finished a course of Levaquin for what appears to be a urinary tract infection (UTI). The plan is to start him on Zosyn as soon as possible. The order for Zosyn will be effective until the culture is negative.
On 10/11/17, Room 370 feels okay, and his daughter has been in the room with him. The CT scan revealed an outlet obstruction in Room 370. Room 370 was placed on antibiotics, and his IV Levaquin has been switched out to Zosyn. Most importantly, Room 370 has an appointment to …show more content…
He is nonverbal, and aphasic. Room 370 has a PEG-Tube and he cannot swallow safely. He is non-ambulatory and cannot move his right arm. Room 370’s close family members have had meetings with palliative care. At the last palliative care meeting, Room 370 indicated that he would want CPR, but his brother said he would not want to be kept on a machine for more than two weeks. Room 370’s past medical histories include: multiple strokes, vertigo, HTN, benign prostate hypertrophy (BPH), diabetes mellitus type 2, which Room 370 is currently taking insulin for, vitamin D deficiency, diabetic neuropathy, chronic kidney disease stage 3, and