الاثنين، 25 يونيو 2018

79-Osteomylitis

About
Inflammation and bacterial infection in bone tissue.
Assess
Temperature, Vital signs; Recent injuries; pain, redness, swelling, and tenderness when palpating over injured bone; Blood cultures; s/s of sepsis; skin lesions, ulcers, infections; Elevated WBC's.
Complications
Sepsis- systemic infection
Skin ulceration, surgery, pain
Diagnosis
Acute pain related to inflammation and infection
Knowledge deficit related to treatment and medication regimen
Goals
  • The client will demonstrate understanding of medication therapy and treatment.
  • The client will have pain levels less than 4 on a zero to ten scale.
Interventions
  • Assess site of infection, labs, vitals.
  • Apply dressings and irrigate wounds using surgical asepsis, as ordered.
  • Administer antibiotics, as ordered, via IV initially.
  • Administer pain medications prn as ordered by a physician.
  • Teach client about medication therapy, including continuing therapy after discharge, even if symptoms improve.
  • Teach client how to care for wounds, as needed, for continuing care after discharge.
  • Prepare client for special procedures ( hyperbaric oxygen therapy, surgery) as indicated by a physician.
  • Monitor for signs/ symptoms of complications.

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