Diana Wiseman iHuman Care Plan
Hospital Admission:
• Vital Signs to be checked every 4 hours.
• Note: The patient has a penicillin allergy and experiences orthostatic hypotension.
• Initiate IV Fluids with 2 liters of Normal Saline (NS) at a high flow rate, then switch to 1/2 NS at 100 cc/hr if orthostatic symptoms no longer present.
Management of Hyperglycemia in Type 1 Diabetes:
• Check fasting glucose levels every 2 hours until they fall below 200 mg/dL, then reduce the frequency to every 4 hours.
• Administer Insulin Lispro before meals, adjusting the dosage based on a sliding scale for blood sugar levels above 150, as long as the patient is eating.
Diana Wiseman iHuman Case Summary
• Continue the regular long-acting insulin regimen.
• Monitor urine for ketones.
Treatment of Pyelonephritis:
• Initiated treatment with Levofloxacin (Levaquin) at a dosage of 750 mg IV every 24 hours for five days.
• On the fifth day, transitioned the patient to oral Levofloxacin at a dosage of 750 mg by mouth once daily for a total projected antibiotic treatment duration of 14 days.
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