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Eric Swehla, a 19-year-old male, presented to the ED with right foot pain for four days after cutting his foot while playing soccer barefoot. Labs showed elevated white blood cell and neutrophil counts, and vital signs indicated concern for sepsis from the foot wound. The patient's vital signs had worsened since initial presentation, showing increasing signs of sepsis like fever and respiratory rate. Further observation could have caught a decrease in oxygen saturation as well.

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0% found this document useful (0 votes)
441 views1 page

PDF 8 4

Eric Swehla, a 19-year-old male, presented to the ED with right foot pain for four days after cutting his foot while playing soccer barefoot. Labs showed elevated white blood cell and neutrophil counts, and vital signs indicated concern for sepsis from the foot wound. The patient's vital signs had worsened since initial presentation, showing increasing signs of sepsis like fever and respiratory rate. Further observation could have caught a decrease in oxygen saturation as well.

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NUR2811

8/4/2020 – IHuman, right foot pain, 85%

This scenario was about 19 year-old Eric Swehla who arrived to the ED brought by his boyfriend
for right foot pain for four days after he cut his foot playing soccer. Patient states that at the time
of injury, he was playing barefoot, cut his foot, and just washed the area off with bottled water.
Labs for blood and wound culture are pending, but WBC and neutrophils are elevated, and
patient’s VS indicate concern for sepsis. To demonstrate evidence-based practice, I checked the
patient’s previous VS and then compared to the patient’s current VS that showed me evidence of
worsening signs of sepsis such as fever and increased respiratory rate. What I could have done
better for evidence-based practice is been more observant of my patient’s decreased oxygen
saturation. The ATI that I did today was on infection control, which I did to further my
understanding on infection protocols in the hospital depending on the patent’s illness.

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