is a 35 Y/O male who presented to the ED for evaluation of Left knee pain to rule out septic joint Vs anterior knee cellulitis/abscess.

QuestionAnswered step-by-stepPlease Help me with the Concept Map (template) below. I have attacheda completed worksheet and brain sheet after the template which I have already completed myself in the past. I attached them to help provide additional details for this client.H. L. is a 35 Y/O male who presented to the ED for evaluation of Left knee pain to rule out septic joint Vs anterior knee cellulitis/abscess.PMH: Type II Diabetes-insulin dependent, HIV (on antiretrovirals – acyclovir), Acute Renal FailureOne week ago, he was at a bar dancing when he fell and broke and cut his knee on broken glass on floor. He states the cut wasn’t bothersome then and he thought it was healing, but 2 days ago, his knee became more swollen and painful and he had difficulty bearing weight.When the pain persisted, he went to the ED and was found to have elevated inflammatory markers, WBC 22, CRP 328, and ESR 61. He is afebrile at this time. Denies numbness and tingling in lower extremities.Arthrocentesis was attempted in ED but only 2 CC of fluid obtained. 500 nucleated cells noted from this arthrocentesis.Knee: flexion and extension of knee is limited due to pain. About 3 cm subacute laceration at the anterior knee with surrounding edema. Knee effusion noted. Tender to palpation.Wound drainage culture: 3+ Staph. Aureus, 2+ Strep pyogenes (Group A).Client is on PCN; Peri wound skin: erythema.(Pyogenic Arthritis – Unspecified)Please help me build this main Concept Map: 1.     History of present illness:  2.     Pathophysiology:  3.     Secondary Diagnosis:  4.     Past Medical History (Medical and Surgical):  5.     Nursing Assessment/Clinical Manifestations:    6.     Diagnostics/Labs/Findings: DateDiagnostic TestsFindings/Impressions   Date of Labs Below: 10/12/2014Date of Labs Below: 10/12/2014 Significant Labs(H)igh(N)orm(L)owValueInterpretation of Abnormal LabsSignificant Labs(H)igh(N)orm(L)owValueInterpretation of Abnormal Labs 7.     Medications 8. Concept Map (See below):  Generic Name and Brand NameClassificationPrescribed Dose, Frequency, RouteNormal Dose RangesMechanism of ActionNursing Considerations/ImplicationsPatient Specific Indication Admitting diagnosisObjective Data:·  Labs:·  Diagnostic Test:·  (Describe other pertinent assessment data)Previous Procedures:Nursing Diagnosis #3:Goal:Interventions:Evaluation:Interventions:Evaluation:Nursing Diagnosis #2:Goal:.Nursing Diagnosis #1:Goal:Interventions:Evaluation:Concurrent health problems:Medication List:Subjective Data:·  Pt. stated:Pathophysiology and symptoms of primary and pertinent secondary medical diagnosis complete. APA format.  The Following are information to help with the Concept map: – a brainsheet and a worksheet that I have already completed in the past myself.AAH Clinical Assignment WorksheetDate:_________________ Student: __T, H., (Author – Self)____________________Patient Initials:_LH_____ Age:__35____ M/F:__M____ Allergies: __NKA_________________PMH:___Type 2 Diabetes – Insulin dependent, HIV (on antiretrovirals – acyclovir), Acute Renal Failure. ___________________________________________________________Reason for Hospitalization:_Left Knee Pain. Pt. stated, “My knee hurts!”____________________________________________Diagnosis (Primary/Secondary):__Left knee wound with effusion, suspect septic bursitis_______________________________________Pathophysiology (In own words): _____________________________________________________________________________________________________________________________________________________________________________ Medication Name         Dose Frequency Patient Specific Indication  acyclovir 200 mg, Tab, PO BID x 7 daysHSV Infection  Daptomycin (brand name) 500 mg 10 mL Injectible IVPB. Q4H x 14 daysCellulitis/Abcess, Intolerance – Acute Kidney Injury (Routine creatinine clearance < 30 mL/hr)  heparin 5000 Units injection Subcut. Q12 HVTE (PE/DVT) prophylaxis/Hx. Insulin glargine (Lantus)30 Units SubcutQ24HDiabetes T II management    Insulin lispro (Insulin Lispro Humalog) low scale8 Units. Subcut. With meals3x/dayDiabetes T II Management.    Trazodone (brand name)50 mg Tab. POAt bedtime. Routine.Chronic Anxiety and Insomnia. Sodium zirconium cyclosilicate (Lokelma) 10 gm. Packet. POTID x 48 hours  To decrease potassium (5.5) Lab Values/Culture Results: 06/16 at 05:01CBC: Chemistry: ABG: WBC12.16Na136ALT18pH RBC4.54K5.5AST21PCO2 HgB12.4Ch100Mg HCO3 HCT36.7Ca Albumin3.1PO2 PLT335BUN32Bilirubin0.3SaO2 MCV80.8Creatinine4.86Alk Phos91Base Excess MCH27.3Glucose92Globulin3.9  MCHC33.8Phosphorous Anion gap Cardiac: RDW12.0CO227BUN/Creat ratio CKMB MPV9.5Protein total7.0AG ratio0.8CK total Neutrophils Troponin Bands BNP  Sedementation Rate Westergren = 93 (elevated); CRP Inflammatory = 68.4 (elevated).Others (Urinalysis/Coagulation studies):NONETests Results/Procedures (MRI/XRAY/CT/EKG/Others):___US – Renal 06/12/21 @ 14:31 ___________________________________________________________________XRAY – Left Leg – No acute osseous finding, Anterior knee soft tissue injury without definite radiopaque foreign body. _______________________________________________________________________________________Nursing Diagnosis for your patient:  ___Already DONE by me -___________________________________________________________________________________________________________________________________Goal for today:_________________________________________________________________________________________________________________________Interventions for your patient: 1._________________________________________________________________2._________________________________________________________________3._________________________________________________________________Outcome/Evaluation:_________________________________________________Subjective:_________________________________________________________Objective: __________________________________________________________Any cultural/ social considerations? ______________________________________________________________________________________________________________________________________Patient/Family Teaching:Brainsheet: Name: T.H Date of Admission:Admitting Diagnosis: Left Knee InjuryRoom: 10217Secondary Diagnosis: HIV, Diabetes T IICode Status: FullAllergies: NKAIso: StandardPMH: Diabetes T II, Acute Renal Failure, HIVMedications: ·        Acyclovir 200 mg. PO. Tab. BID x 7 days (HSV Infection)·        Daptomycin 500 mg. 10 mL Injectable IVPB Q4H x 14 days (Cellulitis/Abscess).·        Heparin 5000 units. Injection. SUbcut. Q12H. (VTE – PE/DVT) prophylaxis.·        Insulin glargine (Lantus) 30 Units. Subcut. Q24H. (Diabetes mgt).·        Insulin Lispro (Humalog) 8 Units. Subcut. With meals. 3x/day (Diabetes T II Mgt).·        Trazadone 50 mg. PO. Tab. At bedtime (chronic anxiety and Insomnia)·        Sodium zirconium cyclosilicate. 10 gm. Pkt. PO. TID x 48 Hr. (To decrease 5.5 potassium)Na136Cl Bun32Gluc92MgBNPK5.5CoCr4.86CaPhosDdimerCoagsINRPTTHct36.7W12.16         Pl (Plt –   335) 12.4HgbCardiac Enz           1              2              3CT CXR MRI EchoDiagnostics:US: Renal: Elevated CreatinineIV: Peripheral 20 guage. Right Forearm 06/15. D10W, 500 mL IV currently running at 10 mL/hr.                                                                         Due to Change: ______Wounds/Incisions/DrainsCT JP Penrose Trach G-tube J-tube NG: NONEDiet: Solid-RegularActivity: Turns self, ADL activities, Reposition in bed.IntakeOut: 5Balance: +5UA: NoneCultures: Wound Last BM: 06/15OutputFoley/void (Yellow; Amount: WNL)Vitals & Frequency:                                                O2______­­­__@________ 06/16O2 SatTempHRRRBP07:3610099.66916161/94 (112)143510098.86620116/97 (112)Accu BS_121____ Units ______Accu BS_64____ Units (Not done/Dr’s   order) ______Accu BS_____ Units ______Activity:Ø ADL ActivitiesØ Reposition in bedØ Turns self in bedTele: NO Health ScienceScienceNursingNUR 2230Share Question