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action or later. Please see Debugging in WordPress for more information. (This message was added in version 6.7.0.) in /home/intelligentwr/nursingassignmentcrackers/wp-includes/functions.php on line 6114Read the instructions associated with the form for adverse reactions. You will note that the form indicates that the patient had an adverse reaction to a drug.<\/p>\n
Your job is to review the health record document, determine, and report the adverse reaction. Pay close attention to what is required of D1 & D4. Put your name in textbox “G” as the reporter.<\/p>\n
DISCHARGE<\/span>\u00a0SUMMARY<\/span>
\nPATEL, SHERRY<\/span>\u00a0#0267852<\/span>
\nDATE OF<\/span>
\nADMISSION:<\/span>\u00a002\/26\/XX<\/span>\u00a0DATE OF DISCHARGE:<\/span>\u00a003\/01\/XX<\/span>
\nFINAL DIAGNOSES:<\/span>
\n1.<\/span>\u00a0Left femoral neck fracture<\/span>
\n2.<\/span>\u00a0Paroxysmal Atrial Fibrillation, converted<\/span>
\nto sinus rhythm<\/span>
\n3.<\/span>\u00a0Urinary tract infection<\/span>
\n4.<\/span>\u00a0Rash due to Bactrim<\/span>
\n5.<\/span>\u00a0Mild Dementia<\/span>
\n6.<\/span>\u00a0Hypertensive Heart Disease with<\/span>
\nhypercholestrolemia<\/span>
\n7.<\/span>\u00a0History of Strokes (Cerebrovascular<\/span>
\nAccidents [CVA])<\/span>
\nJustification of Admission<\/span>
\nThis 77<\/span>–<\/span>year<\/span>–<\/span>old female presented to the ER after falling at her beach<\/span>
\nhome.<\/span>\u00a0Upon examination, the patient complains of inability to walk and severe<\/span>
\nhip pain.<\/span>\u00a0H<\/span>er past medical history reveals multiple strokes with dementia<\/span>
\nresiduals and heart disease. X<\/span>–<\/span>rays revealed a femoral neck fracture.<\/span>\u00a0Patient<\/span>
\ncurrent medications include Coumadin, Diovan, OsCal, Magnesium chloride,<\/span>
\nMegace, Levothroid, Remeron, and Lipitor<\/span>.<\/span>
\nHospital Course<\/span>
\nThe patient was admitted and Dr. Black an Orthopedic surgeon was consulted.<\/span>
\nOn the evening of 02\/26, an open reduction and internal fixation repair was<\/span>
\nperformed on the left hip.<\/span>\u00a0During the surgery there was a great deal of bloo<\/span>d<\/span>
\nloss that was replaced with three units of packed cells. The patient transfused<\/span>
\ntwo units packed cells without incidence.<\/span>\u00a0Coumadin was placed on hold and the<\/span>
\npatient was placed on Lasix.<\/span>
\nPostoperatively the patient developed an atrial fibrillation whic<\/span>h was controlled<\/span>
\nwith Toprol, Digoxin, and Verapamil.<\/span>\u00a0Three days postoperatively, the patient<\/span>
\nbegin to spike fevers of 101<\/span>\u00a0\u030a.\u00a0Cultures were taken of the blood and urine.<\/span>\u00a0The<\/span>
\npatient<\/span>\u00a0developed a urinary tract<\/a> infection growing over 100,000 colonies of E.<\/span>
\nColi bacteria. The patient was started on Bactrim p.o. however the patient<\/span>
\ncomplained of a rash over her mid<\/span>–<\/span>abdomen.<\/span>\u00a0Calamine lotion was applied to the<\/span>
\nrash using cotton swabs.<\/span>\u00a0The medication was switched to Keflex.<\/span>\u00a0The patient is<\/span>
\nafebrile and currentl<\/span>y receiving physical therapy<\/a>.<\/span>\u00a0She will be transferred to<\/span>
\nMiami Dade College Rehab Center where she will continue her therapy.<\/span><\/p>\n