Scenario: Marie is a 27-year-old female who is homeless. She
Scenario: Marie is a 27-year-old female who is homeless. She… Scenario: Marie is a 27-year-old female who is homeless. She arrives at the emergency department with complaints pain in her left foot. After an assessment you discover that she has an open wound on the bottom of her left foot that is red, swollen, and draining viscous green fluid. Cellulitis is present up the leg to the knee. She states she has no chronic medical illnesses and doesn’t take any medication. She is alert and oriented to person, place, and time. Her vitals are BP: 100/78 (her normal is 120/80), Heart Rate 100, Temperature 100.5, Pulse Ox 98%, respiratory rate is 22. 1. What condition are you suspecting? 2. Does she have at least 2 criteria for Systemic Inflammatory Response Syndrome? If so, list the criteria. 3. What are your next steps? 4. What medication do you expect to be given, if any? 5. What labs do you expect the doctor to order? Lab results come back as:Lactate: 4.2WBC: 15,000HCT: 42After fluids were given the vitals were rechecked: BP 88/67, HR114, RR 28, and Temperature 101.5. She states she feels chills. Patient appears pale. 6. What do the lab values mean? Is she improving? 7. What do you expect the licensed practitioner to order and why? The patient arrives to the intensive care unit and is monitored. Fluids and the IV antibiotics continue. Approximately 4 hours after the initial lactate results were completed, they drew another lactate blood sample. The results were now 2.4. The patient remains in the ICU for 2days until she is transferred to the medical surgical floor for monitoring. 8. If she was not improving, what would she be at risk for? 9. What makes a person high risk for infection? 10. Explain the pathophysiology of sepsis and the cellular changes that occur by system. 11. Give 2 examples of medications that can be used to treat Sepsis and how they work on the cellular level. 12. Discuss the pathophysiology of septic shock on the cellular level. Be very specific. . for assignment : All answers must be in line citations. use required text booksMcCance, H. (2018). Pathophysiology: The biologic basis for disease in adults and children, 8th Edition. Evolve/Elsevier. ISBN #978-0-323-58347-3 Burchum, Rosenthal, L. (2016). Lehne’s Pharmacology for Nursing Care. 10th Edition. Evolve/Elsevier. ISBN # 978-0-323-51-2275 Health Science Science Nursing NUR 391
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