I was wondering if anyone can help me with a care plan. I'm really stuck as to what the priority of care should be for a patient. Say the patient has ESKD, diabetes, and an acute infection. That and a handful other comorbidities.
I at first wanted to go ahead and write a care plan having to do with the acute infection since it is the current problem being treated (vs managed). I don't see how the infection could compromise homeostasis since pt is on antibiotics and not septic. If pt were septic I'd go with that. So then I thought it must be something to do with the ESKD. But I honestly couldn't figure out what about it. Electrolyte levels were not all abnormal except sodium (high) and calcium (high). Pt is not hypervolemic. Pt is hypotensive but it is their baseline. I thought may something to do with circulatory function but nothing seems compromised except for hypotension.
I honestly can't figure out the immediate threat to the patient. They have so much going on that I'm confused. I have a feeling I'm approaching this the wrong way but I've dug myself a grave (a bad grade grave) with my own confusion. I've spun circles around this for a while.
I know the information's not much to go off of but any help/suggestions would be great.
Thanks for your time.
Featured Replies
Join the conversation
You can post now and register later.
If you have an account, sign in now to post with your account.
Sorry if this is the wrong spot.
I was wondering if anyone can help me with a care plan. I'm really stuck as to what the priority of care should be for a patient. Say the patient has ESKD, diabetes, and an acute infection. That and a handful other comorbidities.
I at first wanted to go ahead and write a care plan having to do with the acute infection since it is the current problem being treated (vs managed). I don't see how the infection could compromise homeostasis since pt is on antibiotics and not septic. If pt were septic I'd go with that. So then I thought it must be something to do with the ESKD. But I honestly couldn't figure out what about it. Electrolyte levels were not all abnormal except sodium (high) and calcium (high). Pt is not hypervolemic. Pt is hypotensive but it is their baseline. I thought may something to do with circulatory function but nothing seems compromised except for hypotension.
I honestly can't figure out the immediate threat to the patient. They have so much going on that I'm confused. I have a feeling I'm approaching this the wrong way but I've dug myself a grave (a bad grade grave) with my own confusion. I've spun circles around this for a while.
I know the information's not much to go off of but any help/suggestions would be great.
Thanks for your time.