Infection
What lab value indicates infection?
WBC
Why does Diabetes delay wound healing?
Poor circulation + High glucose
What antibiotic is used for severe infections like osteomyelitis?
Vancomycin
What unusual finding did this patient have?
No pain
What is the priority nursing action?
Treat infection with antibiotics
What bacteria was found in this patient?
Streptococcus anginosus
What complications can occur if glucose is uncontrolled?
Infection that can lead to amputation
What is a major side effect of vancomycin?
Kidney toxicity
Why is patient feeling now pain concerning?
Diabetic neuropathy
Amputation/sepsis
A patient with osteomyelitis is at higher risk for which complication?
Sepsis
What is the most important reason to control blood glucose in this patient?
Promotes wound healing and prevents infection
What lab value most be monitored closely with vancomycin?
Creatinine
What assessment finding is the most concerning in this patient?
Black tissue- Necrosis
Impaired tissue integrity
Increased drainage with foul odor
Which patient statement indicates understanding of diabetic foot care?
"I will check my feet every day"
A patient on insulin becomes shaky and diaphoretic. What is the priority action?
Check blood glucose
What does monophasic waveform in the lower extremity indicate?
Poor arterial blood flow
Which intervention should the nurse perform first?
Why is osteomyelitis difficult to treat with antibiotics alone?
Poor blood supply to bone limits antibiotic delivery
Diabetic Neuropathy
Why is long-term IV antibiotic therapy required for osteomyelitis ?
Bone infections require prolong treatment to fully eradicate bacteria?
Why is the absence of pain a concerning finding in this patient?
It may delay recognition of worsening infection
Which patient requires immediate intervention?
Necrosis= tissue death