After specimens when feasible, administer ordered empiric therapy matched to severity, colorectal operative site, MRSA risk, allergies, and local data; manage glucose by inpatient protocol and monitor for hypoglycemia.
在可行情況下,檢體採集後,給予依醫囑的經驗性治療,該治療應與嚴重程度、結直腸手術部位、MRSA風險、過敏史和當地數據相符;根據住院協議管理血糖並監測低血糖。
Perform a focused wound and systemic assessment, mark the erythema, screen for sepsis and deep or organ-space complication, notify surgery, and select precautions according to drainage containment.
執行重點傷口和全身性評估,標記紅斑範圍,篩檢敗血症和深層或器官腔併發症,通知外科,並根據引流液的控制選擇防護措施。
Support prompt opening and drainage as ordered and obtain an aseptic wound specimen; consider blood cultures when systemic assessment or bacteremia risk indicates them, without delaying urgent treatment if unstable.
協助依醫囑迅速打開和引流,並取得無菌傷口檢體;當全身性評估或菌血症風險指示時,考慮進行血液培養,若個案不穩定,切勿延遲緊急治療。
Document findings, notifications, precautions, specimens, source control, antimicrobial timing and reassessment, glycemic response, surveillance referral, wound teaching, follow-up, and accountable handoff.
記錄發現、通知、防護措施、檢體、感染源控制、抗菌藥物時機和重新評估、血糖反應、監測轉介、傷口衛教、後續追蹤和負責的交班。
Reassess vital signs, perfusion, pain, erythema, drainage, glucose, laboratory trends, imaging, and culture results; refine antimicrobials and carry out the ordered wound-care and education plan.
重新評估生命徵象、灌注、疼痛、紅斑、引流液、血糖、實驗室趨勢、影像學和培養結果;調整抗菌藥物並執行醫囑的傷口護理和衛教計畫。