iHuman patient Max Boardman
Prework
A 52 year old male who is being admitted for a possible joint infection following a total left knee arthroplasty
... [Show More] two weeks ago.
1. What are your primary concerns for this patient and what assessments and interventions would be associated with your concerns? Why?
My primary concern with this client will be the development of sudden chest pain. This could be the result of fat emboli traveling to the lungs and leading to pulmonary embolism. Another area of concern is pain control. With Possible joint infection, this patient could be in excruciating pain. My assessment will be focused on respiratory functions first then on the consistency of the incision site, the odor, whether or not there is drainage, if so, what’s the color and the amount. Besides assessing the incision, I will also assess the quality of the pain, whether the pain radiates or not, whether it’s constant and what makes it better or worse. In addition, I will monitor the patient’s vital signs and take immediate action in case the patient is running a fever or if there is presence of chills (Lewis et al., 2017).
They talked about pain the most.
Labs: blood culture, wound culture, cdc.
Interventions:
• Investigate reports of sudden chest pain with difficulty breathing and restlessness.
• Make sure the patient is in a proper position in order to reduce muscle spasm and tension on the new prosthesis and the tissues surrounding the area.
• Administer muscle relaxants, analgesics, and narcotics as needed.
• Medicate the patient on a regular schedule (Carpenito-Moyet, 2016).
Analgesic,
If infected, wound debridement at incision site.
Administer antibiotic
Dressing change if possible
Carpenito-Moyet, L. (2016). Handbook of nursing diagnosis (15th ed.). Wolters Kluwer.
Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., & Bucher, L. (2017). Medical surgical nursing: Assessment and management of clinical problems (10th ed.). Mosby.
2. What do you anticipate the patient’s home medications prior to admission might be? Why?
• Muscle relaxant to reduce spasm and tension
• Oral Narcotic and analgesic medication for pain control [Show Less]