Sepsis A 48-year-old female was admitted to a medical-surgical unit last night following a scheduled right,

Question: Sepsis A 48-year-old female was admitted to a medical-surgical unit last night following a scheduled right, large toe amputation. Her medical history includes diabetes mellitus type I with multiple complications including peripheral neuropathy, retinopathy, gangrenous toes, and chronic kidney disease for which she manages continuous ambulatory peritonealSepsis
A 48-year-old female was admitted to a medical-surgical unit last night following a scheduled right, large toe amputation. Her medical history includes diabetes mellitus type I with multiple complications including peripheral neuropathy, retinopathy, gangrenous toes, and chronic kidney disease for which she manages continuous ambulatory peritoneal dialysis (CAPD). A nurse from the dialysis center arrives at 0615 to assist the client in a dialysate exchange. During the nurse’s pre-procedure assessment, the client states, “I don’t feel good this morning. I am really tired and have pain in my belly. I probably just need to get this exchange done.” The nurse completes the assessment and assists the client to begin draining the effluent which is cloudy and smells foul. The nurse collects a sample of the effluent and reviews the client’s EHR prior to calling the primary health care provider.
Time
1600
1700
1745
2120
2230
0200
0615
Unit
Pre-op
Surgery
Post-op
MS
Vital signs
Temperature
98.9° F (37.2° C)
99.5° F (37.5° C)

100.9° F (38.3° C)
101.6° F (38.7° C)
102.3° F (39.1° C)
Heart rate
89 beats/min
95 beats/min

88 beats/min
108 beats/min
116 beats/min
Cardiac rhythm
NSR
NSR

NSR
ST
ST
Blood pressure
145/67 mm Hg
126/60 mm Hg

120/60 mm Hg
108/57 mm Hg
95/51 mm Hg
Respiratory rate
18 breaths/min
18 breaths/min

22 breaths/min
24 breaths/min
28 breaths/min
O2 saturation
95%
94%

98%
92%
90%
O2 device
None
None

2L NC
2L NC
4L NC
Pain
Denies
Denies

Abdomen 4/10
Abdomen 4/10
Abdomen 6/10
Capillary blood glucose

148 mg/dL (8.2 mmol/L)

136 mg/dL (7.6 mmol/L)
186 mg/dL (10.33 mmol/L)
205 mg/dL (11.39 mmol/L)
Labs
HbA1C

7.9%

RBC

4.8 × 1012/L

4.9 × 1012/L

WBC

11,000/mm3 (11 × 109/L)

11,800/mm3 (11.8 × 109/L)

Platelet

110,000/mm3 (110 × 109/L)

100,000/ mm3 (100 × 109/L)

BUN

72 mg/dL (25.71 mmol/L

Creatinine

5.2 mg/dL

APTT

33 sec

INR

1.3

1. What assessment data are relevant to the client’s current condition?
2. What conditions are supported by the information provided?
3. What other information would help you to establish the significance of this data?
100% (1 rating)1.Abdominal pain ,altered vital signs ,the effluent which is cloudy and smells foul and abnormal lab values are the relevant datas. 2. Septicemia due to peritonitis which results from peritoneal dialysis. Peritonitis is a peritoneal dialysis-related…View the full answer