iHuman Patient Luciana Gonzalez iHuman-Patient Luciana Gonzalez iHuman:Patient Luciana Gonzalez iHuman Patient Luciana Gonzalez Prework • Macrolide: Azithromycin, erythromycin, clarithromycin • UTI Signs and symptoms for adults confusion, younger wet the bed. o A strong, persistent urge to urinate o A burning sensation when urinating o Passing frequent, small amounts of urine o Urine that appears cloudy o Urine that appears red, bright pink or cola-colored — a sign of blood in the urine o Strong-smelling urine o Pelvic pain, in women — especially in the center of the pelvis and around the area of the pubic bone • Know about cva tenderness. The costovertebral angle (CVA) is located on your back at the bottom of your ribcage at the 12th rib. • Assessment o Glass, earing aid, abuse at home, by whom, like to be address, use cane, walker, advance directive, code status, denture, activities of daily living, o Seen doctor or follow up Primary concern • Has a high bmi, screen for diabetes • Was she up to date for immunization? • Make sure she has a gynecological exam because she is of childbearing age • Since she is overweight, we need a full head to toe and a nutritional assessment as well • know definition of comprehensive assessment. Nurses notes Patient is 32 year old female name Luciana Gonzalez. She came to the clinic for a comprehensive assessment in order to apply for life insurance. She is Hispanic and have a regular doctor. Review of system was done and below are the findings. Height/weight: 5’’ 4’’ 185 lbs Temp: 98.8 F Pulse: 57 RR: 22 SpO2: 98% BP: 124/82 • Skin is warm and dry with no lesions seen • Nevus flammeus noted to the right side of the face • Musculoskeletal: bulk and tone appropriate for the patient’s age. Full range of motion • Neurological: AOX4. Light touch, pain, temperature, vibration and proprioception are grossly intact • Genitourinary: no masses or tenderness, no urethral discharge • Rectal: no visible fissures, induration, or lesions • Patient is positive for bacteria in her urine so she will be referred to her primary care physician for follow up on possible UTI.