Question: Mr. Schmidt Is A 56 Year Old Male Patient Who Presented To The Emergency Department With Complaints Of Left Foot Pain And Swelling, Fever And Chills For 2-3 Days. The Client Reported Increasing Discomfort To The Foot With Noticeable Redness That Also Seems To Be Worsening. He Has An Ulcer To The Dorsum Of The Left Foot. The Client Noted That He Was …

Mr. Schmidt is a 56 year old male patient who presented to theemergency department with complaints of left foot pain andswelling, fever and chills for 2-3 days. The client reportedincreasing discomfort to the foot with noticeable redness that alsoseems to be worsening. He has an ulcer to the dorsum of the leftfoot. The client noted that he was seen by his family physician aweek ago and a swab was done on the ulcer which came back positivefor Staphylococcus aureus bacteria. On assessment the clientappeared fatigued and tired. As the primary nurse you noted a foulodour from the wound with swelling & erythema to the left footand leg.

Past Medical History

• Hypertension, high cholesterol, Type 2 diabetes mellitus,TIA

• Client admits to being non-compliant with his medications

• Physical examination findings

• Vital Signs

  Blood pressure 100/58 Pulse 120

• Respirations- 24

• Temperature- 39.0 0C

• SaO2- 96% on room air

• Past Medical History

• Hypertension, high cholesterol, Type 2 diabetes mellitus,TIA

• Client admits to being non-compliant with his medications

• Admitting Diagnosis

Mr. Schmidt was admitted to the hospital with left legcellulitis. On admission he was ordered the followingmedication:

• ciprofloxacin (Cipro®) 500 mg BID intravenously

• acetaminophen (Tylenol®) 1000 mg every 4 hrs as needed forfever

1. Differentiate acute versus chronic infections. Is the patientexperiencing acute or chronic

   infection? Provide a detail rationale to justify youranswer.