Skin Excoriated, otherwise normal Neuro Slightly altered, but baseline Radiologic Exam: Radiology Chest X-ray showed focal consolidation in the right lower lobe, suggestive of pneumonia. Labs: Na: 141 Creatinine: 1.6 K: 4.2 WBC: 19.6 Cl: 98 Hgb: 10.8 Bicarb: 23 Hct: 36.2 BUN: 24 Platelets: 115 Micro Blood Culture No growth at 48 hrs Sputum Culture Gram Stain: 4+ squamous epithelial cells, 4+ segmented neutrophils, no organisms Culture: No growth at 48 hours Pneumococcal Urinary Antigen Positive Legionella Urinary Antigen Negative Problem Assessment Cues Nursing Dlagnosis Subjective Cues: Objective Cues:

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