Mmessenger

I am looking to find contacts and support from anyone who has a Foot Care certification or foot care business. Any recent experiences and feedback would be appreciated. If you are in Texas, that would also be helpful since I have not been able to confirm that a doctor's order is required for foot care. I have tried contacting the BON and am still waiting for a call back. I have seen several posts but since I have not been on the site for awhile I can not send private messages.

Having trouble determining what my priority diagnosis is on patients. Pt is a 4 month old, admitted with fever 102.2, HR 150, RR 62, BP 95/65, SAO2 85%. Woke up gasping for air and was blue, admitted Bronchoiolitis and Flu A positive. History of Down's syndrome and Tetraology of Fallot. His temp is now 98.8, with stable vital signs, On fluids D5 1/4 NS w 20 mEq/L @23 ml/hr. The only abnormal result is glucose 198. Chest x-ray indicates infiltrates in right lower lobe. I think my priority is Impaired Gas Exchange but I think it is related to the Broncholitis. But you also have the Tetraology of Fallot factoring into the impaired gas exchange. Since the disease is treated with surgery I would think my priority is to take care of the Broncholitis. But I also think Ineffective Airway cleareance. My other thoughts are: Ineffective thermoregulation Risk for imbalanced fluid volume Imbalanced Nutrition: less than body requirements I usually don't get these right. Any help is appreciated.