Esbl Ecoli Case Study Nursing

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The patient is a 64-year-old female who has had recurrent admissions to the hospital and recently discharged after being treated for a ESBL Ecoli urinary tract infection. She presents again to the ER complaining of abdominal pain and abdominal distention. Her medical history is significant for schizophrenia, knee replacements, diabetes mellitus, hypertension, past CVA, COPD and dyslipidemia. Workup in the ED reveals her to be anemic and hemoglobin on admission is approximately 9.6 with hydration dropped to 8.5. She is also thrombocytopenic. Her labs reflect chronic kidney disease and her urinalysis reveals large amount of blood in the urine. In the ED she undergoes a CT of the abdomen and pelvis which reveals her to have ascites and
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