Getting Infection Right First Time
6. 48 Hours Later…
Florence has moved to a different ward, and is reviewed by a different team of doctors on ward round.
Transcript
Consultant:
Okay Florence how are you feeling today?
Florence:
I feel awful Doctor, I feel nauseous all the time, I'm being sick all the time, I really feel dreadful.
Consultant:
Oh dear, I'm really sorry to hear that, we'll find out what's going on. What are her Obs today?
Junior doctor 1:
NEWS2 is zero and bloods are normal.
Florence:
It's those pills you gave me, I was alright until I had those.
Consultant:
Ok well we'll have a word with the Pharmacist and see if we can get something else for you instead.
Pharmacist:
Well, looking at the admission notes, I can't see that she had any urinary symptoms - Florence, did you have any burning or stinging when passing water?
Florence:
No, nothing like that
Pharmacist:
Not been passing urine more frequently, or rushing to go to the loo?
Florence:
No, the waterworks have been fine.
Junior doctor 2:
She did have dark smelly urine on admission…
Consultant:
Okay, and she was on the floor for quite a long time and she was very dehydrated when she was brought in.
Junior doctor 2:
Dipstick was positive… and it looks like we've grown E. coli from the urine sample.
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