Esbl Ecoli Case Study Nursing

Time line – the project will require a 12-month implementation time line to allow the team to compare the intervention on a monthly and on a quarterly basis.

The patient is a 97-year-old female who presents to the ED because of urinary incontinence with hematuria and vaginal bleeding. The patient is very weak, unable to walk prior to admission despite her 97 years of age she is able to ambulate her home with the assistance for walker. In the ED she was found to be positive for influenza. The rest of her medical history she is chronic kidney disease, increased lipids, she is anemic and has hypertension. Urologic consultation indicates that catheterization of her urine in the ED showed it to be amber. Besides having influenza she probably is having vaginal bleeding. I believe that this patient warrants acute inpatient hospitalization. She is 97 years of age with a multiplicity of comorbidities

The patient is an 85-year-old female who is brought to the emergency room by her family because of weakness over the past 2 weeks and not acting herself. The niece reports the patient has a history of dementia in the last 6 months to one year. She evidently stopped her medication about a month and a half ago because she felt that they were not helping her. She had been experiencing generalized weakness, difficulty with ambulation, decreased po intake and decreased appetite for the past few weeks. Her medical history is significant for hypothyroidism. She has had a thyroidectomy, hypertension, hypercholesterolemia, and lung lung cancer. The patient presents with a degree of acute kidney injury. Initial creatinine is 2.62 and with some

After returning to the unit after a few days off, I cared for the same patient on post-operative day 8. Upon assessing, the patient findings included; patient needed oxygen to ambulate to the bathroom and appeared very short of breath, low urine output, lungs with crackles throughout, low-grade temperature, brown drainage from abdominal incision

SCLC is a highly aggressive tumour with a propensity for early metastases and a high case-fatality rate. Systemic treatment with doublet platinum plus Etoposide ( cisplatin 60mg/m2 D1 or carboplatin AUC5 IV day 1 ,Etoposide100mg/m2 IV Day1 and 200mg/m2 oral day 2 and 3 is recommended for all stages of this disease and has been a standard first-line therapy for SCLC since the 1980s.(Hann 2008)

The patient is an 80-year-old female who is brought to the ED referred from the hemodialysis unit because they discovered a history of a fall from an upright position 2 days prior to her presentation. There is no further history available except from her sister who noted fall when the patient was tryng to to get some water. There was evidently no loss consciousness or seizure activity. The patient has severe underlying dementia cannot provide additional history. Her medical history is significant for diabetes mellitus, hypertension, end-stage renal disease, she has had previous TIA, anemia and peripheral arterial disease. Initial lab work up reveals her to be anemic with a hemoglobin 8.9, hematocrit 20.4, hyponatremic with a sodium 130, chloride of 89, and albumin of

The patient is a 58-year-old African American gentleman who presented to the ED with complaints of nausea, vomiting, diarrhea and generalized malaise associated with no fever, chills. The patient missed his dialysis treatment on Friday because he was not feeling well and he could not get himself to the dialysis center. The dialysis center rescheduled his treatment to Sunday but again he was unable to get himself to the center secondary to feeling generally weak. He denies any fever, chills or chest pain. His medical history is significant for diabetes mellitus, dyslipidemia, hypertension, renal failure, end-stage on dialysis. He also is partially deaf and blind. Initial laboratory work reveals him to have a CO2 of 20, BUN of 90, creatinine

My patient was admitted into hospital for chest pain and edema to upper and lower extremities. Patient has a past medical history of hypertension, has a pacemaker and stent.

The patient is an 80-year-old African American female unremarkable who presents to the ED complaining of inability to walk and loss of weight. She was sent in by her primary doctor, Dr. Nil. She also presents with some altered mental status. On presentation in the ED the patient is found to have a white count of 21,000, hemoglobin of 8.7, close follow up revealed a white count of 15.4 and hemoglobin dropped to 7.6. She has a left shift in her leukocytes and her platelets are increased. She is also noted to have iron deficiency anemia, acute kidney injury, as well as moderate to severe right-sided hydronephrosis with no clear explanation. Her urine culture is growing e coli with a fairly benign susceptibility pattern. However in view

“Sixth or seventh grade education; housewife and mother of five. Breathing difficult since childhood due to recurrent throat infections and deviated septum in patient’s nose. Physician recommended surgical repair. Patient declined. Patient had one toothache for nearly five years; tooth eventually extracted with several others. Only anxiety is oldest daughter who is epileptic and can’t talk. Happy household. Very occasional drinker. Has not traveled. Well nourished, cooperative. Patient was one of ten siblings. One died of car accident, one from rheumatic heart, and one was poisoned. Unexplained vaginal bleeding and blood in urine during last two pregnancies; Physician recommend

Chief Complaint: The patient complains of dysuria and some abdominal pain for the past 3 days

The patient is 67-year-old gentleman who presented to the ED with 3 day history of rectal bleeding. He present the day of admission because the bleeding had gotten worse and it was frank blood. He was also having some epigastric pain. He has had rectal bleeding in the past. He has had polyps removed and he has also “had a vein clipped in Yugoslavia”. In the ED, he was initially hypotensive at 85/55 and tachycardic at 112. He was given normal saline and transferred to the intensive care unit. On presentation his initial hemoglobin is 11.9 and hematocrit of 35.8 and within approximately 3 ½ hours of admission his hemoglobin dropped to 10 3 and 31.4 and then subsequently to 9.5. I believe this patient's condition warranted inpatient admission

Theresa Camantiles was a 38 year old home maker and mother of 4 children. Keeping house and driving the children to activities kept her busy. To stay in the shape, she took aerobics classes at the local community center. The first sign that Theresa was ill was vague; she fatigued easily. However, within 6 months, Theresa was short of breath, both at rest and when she exercised, and she had swelling in her legs and feet. She then sought medical consult. On physical examination, she had distended jugular vein, liver was enlarged and had ascites in her peritoneal cavity and edema in her legs. A fourth

Genitourinary: Patient denies flank pain, suprapubic or back pain, does not need assistant with peri care, goes to the toilet to urinate, the urine is clear yellow without any sediment, no dysuria or hematuria noted. History of one c- section 30 years ago, denies uterus or bladder prolapse. Patient stated menopause started 7 years ago, patient stated is not sexually active. No bladder scan performed in the course of rehabilitation stay.

She was not in pain and not in respiratory distress. She is a medium built woman with clinically adequate nutritional and hydrational status. There was no gross deformity and skin colour changes in this patient. No attachment of iv branula on her limbs.