S: The patient is a 57-year-old female patient tired of dea…
S: The patient is a 57-year-old female patient tired of dealing with frequent urination, including at night. She was treated last week with an antibiotic for a bladder infection. Urinalysis at that time was over a 100,000 E. coli. Five days later, the patient began ciprofloxacin 250 mg b.i.d. x7 days. Her last dose was today. Then the patient saw another provider and urinalysis was collected showing 50 to 100,000 of mixed bacteria, likely contamination. The patient denies any discrete burning with the urine. No fevers, no chills. No back pain. O: The patient’s vital signs revealed a blood pressure of 124/82, heart rate of 78, weight of 178, and temperature of 98.4. She appears comfortable, nonseptic, in no acute distress. Lung sounds are clear. Heart has regular rate and rhythm. Urinalysis shows trace blood, moderate protein, and small leukocytes. There are no nitrites. A: Status post UTI with urinary frequency. P: Recommend sending today’s urinalysis for culture. She can try Pyridium, which may help with her symptoms now. It is most important that she get back on her diuretic, which she has stopped, and a consideration to take this in the very early morning hours if she gets up to void would be appropriate so she can go back to sleep. Discuss in two days’ time to see if the urine has completely cleared. At that time, if this is a negative urinalysis, C&S, then we would increase the Detrol LA to 4 mg per day. What is the patient’s chief complaint?
Read DetailsA patient tells the nurse that she is allergic to Oxycodone….
A patient tells the nurse that she is allergic to Oxycodone. When the nurse questions the patient further about the specific effects, the patient states that she gets real bad constipation and anorexia. The nurse determines that:
Read DetailsA 32 year old patient arrives to the ER three days after abd…
A 32 year old patient arrives to the ER three days after abdominal surgery. She is complaining of pain at the incision. The patients vitals signs are: Temp 38. 2 degrees C, heart rate 120, resp 22, O2 sat 91%. The nurse would expect to receive which orders from the ER physician? Select all that apply
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