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65 yr old male (meds (aspirin #, atorvastatin, ciprofloxacin, fragmin # #,…
65 yr old male
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history
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smoker (COPD? asthma?) # #
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Orders
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Wound care:
1) D/C NPWT
2) apply dry dressing to wound daily
Goal is to keep incision clean and dry
Connect JP drains to wall suction at 80mmHg
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complications
malnutrition/vitamin deficient # # # # # #
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priorities
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monitor urine production, labs are showing the kidneys may not be perfusing
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skin integrity, especially in his legs and feet. inspect for pressure ulcers and take steps to prevent them such as pillows
assess for depression maybe? can we get him a psych consult? at high risk for depression. Less cooperative with future health oriented goals?
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labs
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HGB 80 L
RBC 2.56 L
HCT 0.25 L
RDW 18.3 H # #
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