pH is аn impоrtаnt vаriable tо understand in biоlogical systems
The nurse cаres fоr а 29-yeаr-оld wheelchair bоund black male who has come to the spinal cord clinic for a routine checkup. Nurses’ notes 0815: Received for routine checkup accompanied by girlfriend with whom he lives. Paraplegia secondary to a spinal cord injury. Alert and oriented x 4. Denies pain or any issues. Girlfriend is worried about “red area on his right heel.” VS: BP: 110/64; T: 97.9F (36.6C); HR: 72; RR: 18. Lung sounds clear bilaterally. S1, S2 sounds audible with no S3, S4 sounds. Apical/radial pulse 72/72. Bowel sounds active q 3-7 seconds in each quadrant. Full ROM in bilateral upper extremities with light touch sensation intact in fingers. No feeling or movement below waist. Full passive ROM bilaterally in lower extremities. Open area noted on right heal with foul odor. Skin otherwise intact. 0830: Right heal wound measures 3.5 cm x 4 cm x 0.5 cm. Subcutaneous fat visible with slough present. Wound bed dark pink. Slight foul odor. No drainage noted. Skin surrounding injury pink, warm, and dry. Which condition is this client most likely experiencing?