Pete is a 68-year-old retired engineer. He remains mentally and physically active and is generally in good health.

A 51-year-old male presents to your office with left lower abdominal pain, diarrhea, nausea, and vomiting. He states that he has a decreased appetite along with a low-grade fever and chills.
November 13, 2019
Module 6 Teena Kissee Case Study I What are the potential ICD-10 codes in this case? 1. a. 2. How can the NP determine if the patient v/s an established patient at the clinic?
November 13, 2019

Pete is a 68-year-old retired engineer. He remains mentally and physically active and is generally in good health.

Pete is a 68-year-old retired engineer. He remains mentally and physically active and is generally in good health. That’s part of the reason he was so surprised a couple of weeks ago, when he found blood in his urine. Pete went to his doctor and was diagnosed with a kidney infection caused by a gram negative bacterium; the doctor prescribed a 14-day course of antibiotics. After the first week or so, Pete started to feel better, so he stopped taking the antibiotics. About two days ago, he noticed that the pain in his back had returned. He also felt a little dizzy and seemed to get winded more quickly than usual. Pete thinks he should go back to the doctor but wants to wait until after his granddaughter, Sara, visits. She doesn’t get the chance to visit very often, and they have a great day planned—a picnic in the park and a nice long walk along the lakeshore. Pete is thrilled when Sara arrives—but Sara looks worried when she sees her grandpa. He’s quite flushed, is a little bit sweaty, and seems to be a little bit confused or disoriented. Although Pete insists that he’s fine, Sara really wants to take him to the emergency room (ER). Pete continues to argue, but Sara swears that she won’t have a bit of fun if she’s worried about her grandpa all day long. Finally, Pete agrees to go to the ER. Based on your readings from Chapter 1 in your textbook, answer the following questions below: Is Pete’s earlier kidney infection connected to his current symptoms? Why or Why not? What is the significance behind Pete being diagnosed with a kidney infection caused by a “gram negative bacterium”? What virulence factors are associated with this type of microbe and what kinds of symptoms does it cause? Why didn’t the prescribed antibiotics work for Pete in this case? What actions could have made the treatment more effective? What do you think the ER physician will tell Pete once he comes to the hospital? As a future nurse, what would you advise Pete to do once he leaves the hospital?

 

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