with p. aeruginosa, s. aureus, and k.pneumoniae infections......OR RBBB heart block beside atrial fibrillation (on Digoxin though)? I would say circulation, going by ABC prioritizing, as this is an elderly woman in need immune suppression (WBC =9000 mm3).
Answer:
Wow, both are interesting! However you must weigh the pros and cons of both. You may treat the ulcer daylight in and out but oodles surgeons will not touch the case next to a pt in a-fib. If you don't treat the infection aggressively, however, you may enjoy a blood infection develop that can vegetate and damage heart valve and the myo/endo-cardium. Well, there's my 2 cents from experience!
Diabetic pressure ulcer but solitary if the atrial fib is at controlled rate and the patient is asymptomatic and not tentative onset. With diabetic infections this forgiving can be in sepsis nippy.
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