Homework Answers
1)Yes, antimicrobial therapy should be broadened for more microbial coverage based on 9/20 culture result.
2) Nitrofurantoin,Trimethoprim/Sulfa,Piperacillin IV microbial are generally used in first line of treatment .
3)Ampicillin/Sulbactam antibiotic that can be used for this case.
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Patient 3: A 71 year old female presents to the ED in sepsis. The admitting team...
While in the ED, the patient was placed on 4 liters of oxygen via nasal cannula....
While in the ED, the patient was placed on 4 liters of oxygen via nasal cannula. Oxygen saturation improved to 98%. The patient was initiated on Ceftriaxone 1 gram IV daily and azithromycin 500 mg IV daily and admitted to the hospital. Over the next 48 hours, the patent's clinical status improved with decreasing fever, tachypnea, tachycardia, and shortness of breath. On hospital day 2, the S. pneumoniae urine antigen was positive, and the sputum culture demonstrated the growth of...
The patient was an 80-year-old female who 10 days previously had had a cystocele repair performed....
The patient was an 80-year-old female who 10 days previously had had a cystocele repair performed. At the time of the hospital admission, a urine culture was obtained and revealed >100,000 CFU/ml of an Escherichia coli strain that was susceptible to all antimicrobial agents against which it was tested. Postoperatively, she began a 7-day course of oral cephalexin. She was discharged after an uneventful postoperative course of 3 days. Ten days postoperatively, she presented with a 3-day history of diarrhea....
The patient was an 80-year-old female who 10 days previously had had a cystocele repair performed....
The patient was an 80-year-old female who 10 days previously had had a cystocele repair performed. At the time of the hospital admission, a urine culture was obtained and revealed >100,000 CFU/ml of an Escherichia coli strain that was susceptible to all antimicrobial agents against which it was tested. Postoperatively, she began a 7-day course of oral cephalexin. She was discharged after an uneventful postoperative course of 3 days. Ten days postoperatively, she presented with a 3-day history of diarrhea....
The patient was an 80-year-old female who 10 days previously had a cystocele repair performed. At...
The patient was an 80-year-old female who 10 days previously had a cystocele repair performed. At the time of that hospital admission, a urine culture was ontained that revealed > 100,000 CFU/ml of an Escherichia coli strain that was suusceptible to all antimicrobial agents against which it was tested. Postoperatively, she began a 7-day course of oral cephalexin. She was discharged after an uneventful postoperative courser of 3 days. Ten days postoperatively, she presented with a 3-day history of diarrhea....
26% -), AT&T LTE 10:08 AM Capstone Case Studies.. Case Study and Questions A 65-year old...
26% -), AT&T LTE 10:08 AM Capstone Case Studies.. Case Study and Questions A 65-year old man entered the emergency department of a local hospital. He appeared to be acutely ill with abdominal tenderness and a temperature ef 40" C. The patient was taken to urpery because appendicitis was suspected. A ruptured appendix surounded by 20 ml of foul-smelling pus was Sound at laparotomy. The pus was drained and submitied Sor acrobic and anacrobie bacterial culture analysis. Postoperatively, the patient...
26% -), AT&T LTE 10:08 AM Capstone Case Studies.. Case Study and Questions A 65-year old man entered the emergency department of a local hospital. He appeared to be acutely ill with abdominal tenderness and a temperature ef 40" C. The patient was taken to urpery because appendicitis was suspected. A ruptured appendix surounded by 20 ml of foul-smelling pus was Sound at laparotomy. The pus was drained and submitied Sor acrobic and anacrobie bacterial culture analysis. Postoperatively, the patient...
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