Question

kodjo 15 years old boy is admitted to the medical ward with burns on the trunk and arms by Dr Edinam.kodjo cam with his history of wound on the trunk,dizziness. painful arms and trunk,fever of (38) and insomnia.he is allergic to ripped plantain.the physician ordered full blood count,fasting blood sugar, liver function test, urine for urinalysis, BUE,ESR.his medication are tab amoxiclav 312.5mg daily for 7 days,suppository paracetamol 1g.for 72hours,l. normal saline 500mls start, Ringer lactate 500mls start. draw a comprehensive care plan for kodjo

Answer 1

The following are the components of a comprehensive plan:

ASSESSMENT

DIAGNOSIS

DESIRED OUTCOME

INTERVENTIONS

EVALUATION

ASSESSMENT:

This section involves subjective data and objective data

Data given in the above case is as follows

Burns on the trunk and arms.

wound on the trunk.

pain of trunk and arms.

dizziness +

fever +

Dyspnoea -

insomnia +

Allegeric to ripped plantain.

DIAGNOSIS:

Burn wound infection.

DESIRED OUTCOME:

Reducing the temperature and pain.

To prevent hypovolemic shock induced by burn and infection in this case.

To treat the infection.

To prevent systemic inflammatory syndrome/Sepsis.

INTERVENTIONS:

Monitor the patient for fluid overload by auscultating the lungs from time to time.

Monitor the vitals from time to time and report to the physician if there are any changes.

check the patient for new onset of symptoms.

Evaluation:

Patient's fever and pain are controlled.

.