Diana Wiseman iHuman Case Plan

Diana Wiseman iHuman Case Plan

Admission to Medicine Floor:

  • Vital Signs every 4 hours
  • Note: Allergic to penicillin, watch for orthostatic hypotension
  • Intravenous (IV) Fluids: 2 L Normal Saline (NS) wide open; then 1/2 NS at 100 cc/hr if no longer experiencing orthostatic hypotension
  • Hyperglycemia/Type 1 Diabetes Mellitus (DM) Control:
    • Fingerstick (FS) glucose check every 2 hours until below 200 mg/dL; then every 4 hours
    • Insulin Lispro administered pre-meals with a sliding scale increase for every blood sugar level above 150, considering patient’s food intake
    • Continue routine long-acting insulin
  • Monitor urine for ketones
  • Pyelonephritis Treatment:
    • Initiated Levofloxacin (Levaquin) 750 mg IV every 24 hours for five days
    • On day five, switched to oral levofloxacin 750 mg PO daily for nine days, completing a total 14-day antibiotic treatment duration.
    • Patient: Diana Wiseman, iHuman Case Plan