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66 yo Female FULL code BMI: 34.57 Allergy: enbrel (Medication…
66 yo
Female
FULL code
BMI: 34.57
Allergy: enbrel
Medical DX
Osteomyelitis of left ulna due to
Staphylococcus epidermidis
Rheumatoid arthritis, Hypothyroid,
Difficulty walking, Rheumatoid lung disease,
HTN, osteoporosis, incontinence
Imaging
Forearm xray 6/21/18:
Post op revision of hardware and placement of antibiotic beads for nonunion/infection of ulna fx
Chest xray 6/26/18:
Adequate placement of R PICC
Slight scarring, atelectasis L midlung zone w/o acute pulm. disease
Labs
RBC L, monocytes H, Eosinophils H, MVC H, Calcium L
Wound culture 6/21/18: Staphylcoccus epidermidis to deep L ulna bone
Possible NDX
Impaired physical mobility r/t chronic illness
Risk for worsening infection r/t surgical procedure and immunocompromised state
Acute pain r/t infection, impaired mobility,
surgical procedure
Fatigue r/t chronic illness
Medication
Amlodipine
Ca channel blocker
HTN
Enoxaparin
Anticoag. LMWH
Prophylactic
Heparin lock flush
Anticoag
Patent PICC
Lactobacillus
"good" bacteria
Antibiotic therapy and RA
Leflunomide
Antirheumatic
RA
Levothyroxine
Thyroid hormone
Hypothyroid
Prednisone
Steriodal antiinflammatory
RA
Rifampin
Antitubercular
TB or staph infection
Senna
Laxative
Prevent constipation
Vancomycin in D5W
Antibiotic
osteomyelitis