Diana Wiseman iHuman Case Plan

Diana Wiseman iHuman Case Plan

Admit to Medicine Floor

• VS Q 4 hours

• Note: Penicillin allergy

orthostatic Hypotension

• IV Fluids 2 L NS wide open; then 1/2 NS at 100 cc/hr if no longer orthostatic

Hyperglycemia/DM type 1 control

• FS glucose Q 2 hours until below 200 mg/dL; then Q 4 hr

• Insulin Lispro provided pre-meals with sliding scale increase for every BS > 150 as long as patient eating

. Continue routine long acting insulin

• Monitor urine for ketones

Pyelonephritis

• Levofloxacin (Levaquin) 750 mg IV q24h for five days was initiated.

• At day five the patient was switched to oral levofloxacin 750 mg PO daily for nine days, for a total 14-day projected duration of antibiotic treatment. Diana Wiseman iHuman Case
Plan