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This Concept Map has information related to: oct 10, 2007, interventions: -measure and record I&O -note source of fluid loss/intake -monitor B/P response pt will -pt maintain normal B/P increase in volume -pt will be hydrated -pt will be tolerate fluctuation in fluid level, meropenem nursing dx: risk for infection related to s/p surgery wound, foley catheter, R ileostomy, right hemicranectomy Interventions: -dressing changes as needed -precaution for sterility when cleaning wound, and stoma sites, -frequent hand washing -frequent skin asssessment -monitor VS -encourage movement and ambulation -(pc) administer anti-infective meds, vancomycin Antibiotic active against many gram-positive organisms tx: C. difficile, Maintainence fluid: 0.9% NaCl and free water 175 ml q6h increase fluid volume in circulation increase cardiac output and B/P, interentions: -SCD and TED -ROM exercise during assessment - assess changes in neuro status -observe for sign of resp distress monitor VS -check pulses and cap refill pt will -have stronger peripheral pulses -lower extremities are warmer, and normal skin color -adequate tissue perfusion, no ischemic -be alert and oriented, metronidazole Exhibits antibacterial activity against obligate anaerobic bacteria, gram-negative anaerobic bacilli used for the treatment of serious infections caused by susceptible anaerobic bacteria in intraabdominal infections, postoperative prophylaxis, Heparin blocking the conversion of prothrombin to thrombin and fibrinogen to fibrin. Inhibits new forming clots tx: prevent DVT, Procedures ? bowel recestion 9/07, Procedures Right ileostomy, pt demographics 53 yrs old Caucasian male admitted to NICU after 2wks of ishcemic bowel reconstruction. Came in complained of numbness and tingling in the L leg. Doctors found that he had a MCA stroke, and CT scan showed SDH. Doctors suspected that it was the result of vit. C defeciency