Shadow Health Assignments
Diana Wiseman iHuman Case Plan
Admit to Medicine Floor
• Check vital signs every 4 hours
• Note: Allergic to penicillin
• Monitor for orthostatic hypotension
• Administer 2 liters of normal saline intravenously initially, then reduce to 100 cc/hr if orthostatic symptoms resolve
Hyperglycemia/Type 1 Diabetes Management
• Measure blood sugar every 2 hours until it’s below 200 mg/dL, then switch to every 4 hours
• Give Insulin Lispro before meals, adjusting the dose if blood sugar is above 150 and the patient is eating
• Continue the usual long-acting insulin regimen
• Test urine for ketones
Pyelonephritis
• Started Levofloxacin (Levaquin) 750 mg IV once a day for five days.
• On day five, changed to oral levofloxacin 750 mg PO once daily for nine days, making the total expected antibiotic treatment duration 14 days. Diana Wiseman iHuman Case Plan
Diana Wiseman iHuman Case Plan
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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
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