Friday, October 27, 2017

Nenek's care

..[26/10, 6:39 PM] Hafiz Bro: 

Dr Vernon medical team met on (25 oct 17, 1100 hrs)
Dr Celeste on call doc (met 24 oct 17, 200hrs)
Prof Ragu ( head of medical team)
Release form
Currently nenek on
Anti biotics- augmentin
Blood bacteria - E. coli ( confirmed present)
Dr tan deshawn 26 oct 17 1054am
Ct scan done. Good
but have 1.5 cm gall stone in gall bladder 
Not affecting route
Blood culture test proves blood infection is positive. Unable to determine source of bacteria.
The E. coli  bacteria is diff and usually comes from the stomach but Ct scan shows low possibility
Blood infection possible to come from open wound ( not confirmed )
MRI to be done 26 oct 17 today to confirm if there's bone infection.
X ray shows signs of infection.
If confirm, docs will know which type of anti biotics to use and the duration to be under anti-biotics
Discussed possibility of plastic surgery and skin grafting but the prof ragu (head of the med team says it's not a good idea cause of the invasive anesthetics
She is classed as a 4. The highest rate of 1-4 among the patients severity.
5-10% she may not survive the infection.
It could be anytime, maybe next month,maybe next week if she suddenly has high fever, the bacteria may have spread and overcome her. But so far her signs are ok. No fever at the moment just low blood pressure .
From the dietician/nutritionist , she lost a lot of weight cause during all these years, she hasn't had enough calorie to meet her baseline ( just to meet her req calorie intake for a person her weight)
For now she will take a vanilla susu ( enrich 2.0) which is twice as dense in calorie than  her ensure milk .
We aim to get her to have 1500 calorie from now onwards daily ( her baseline needed is 1250 cal )

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