20. Your patient is a 68-year-old female with diabetes, chronic renal failure, and congestive heart failure....
20. Your patient is a 68-year-old female with diabetes, chronic renal failure, and congestive heart failure. She also has a candida infection in her esophagus. What medication will you expect your provider to prescribe? Why?
Homework Answers
Echinocandins-Caspofungin was the first drug in this class to be approved.it is the latest choice of treatment in osephageal candiasis.
Amphotericin B and azole antifungals have been the mainstay of antifungal therapy so far. The high incidence of infusion related toxicity and nephrotoxicity with amphotericin B and the emergence of fluconazole resistant strains.flucanozole tends to prolong qt intervel in cardiac patients leading to cardiac complications
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20. Your patient is a 68-year-old female with diabetes,
chronic renal failure, and congestive heart failure....
An 80-year-old woman was admitted with a diagno-sis of hypertension, congestive heart failure, anemia, possible diabetes,...
An 80-year-old woman was admitted with a diagno-sis of hypertension, congestive heart failure, anemia, possible diabetes, and chronic renal failu She was treated with diuretics and IV fluids and released 4 days later. Her laboratory results are shown in Case Study Table below.Five months la she was readmitted for treat-ment of repeated bouts of dyspnea. She was placed on a special diet and medication to control her hypertension and was discharged. Medical staff believed that she had not been taking...
2. Ms Penny is a 69-year-old female with congestive heart failure. Her activity level and her energy level were decl...
2. Ms Penny is a 69-year-old female with congestive heart failure. Her activity level and her energy level were declining over the past four weeks. She is mildly short of breath while performing her house chores. The cardiologist just added Digoxin 0.125 mg to her drug regimen. This is your first time administering this medication to Ms Penny a) What would be your first action? b) Is there any specific assessment required for this type of medication, if so what...
Renal Case Study: John Smith, 68 year-old male, is diagnosed with heart failure. He is also...
Renal Case Study: John Smith, 68 year-old male, is diagnosed with heart failure. He is also an asthmatic and diabetic. He is usually on 2 liters of oxygen, but is now requiring 6 liters of oxygen by nasal cannula. John is experiencing significant dyspnea upon exertion. You are caring for him and are responsible for interpreting his medication orders and subsequent nursing implications. Here are John's current vitals and medications: Vitals: HR: 58 BP: 168/90 RR: 24 . SpO2: 90%,...
Renal Case Study: John Smith, 68 year-old male, is diagnosed with heart failure. He is also...
Renal Case Study: John Smith, 68 year-old male, is diagnosed with heart failure. He is also an asti usually on 2 liters of oxygen, but is now requiring 6 liters of oxygen by experiencing significant dyspnea upon exertion. You are caring for him and interpreting his medication orders and subsequent nursing implications. he and medications: He is also an asthmatic and diabetic. He is of oxygen by nasal cannula. John is for him and are responsible for implications. Here are...
Melissa White is a 67-year-old female with ischemic cardiomyopathy and a history of chronic heart failure,...
Melissa White is a 67-year-old female with ischemic cardiomyopathy and a history of chronic heart failure, HTN, high cholesterol and coronary artery disease (CAD). She is a past smoker that quit 5 years ago after her husband died of emphysema in 2007. She is a retired school teacher who cares for her ailing 90-year-old mother at home. Her neighbor brought her to an emergency department because she was complaining of shortness or breath, fatigue and swelling in her ankles and...
An 80-year-old female. has been independently living in her apartment. She has a history of diabetes,...
An 80-year-old female. has been independently living in her apartment. She has a history of diabetes, hypertension, asthma, and obesity. Over the summer, she noticed increased periods of shortness of breath with activity. She also noted a 10 pound weight gain over a 2 week period with a progressive cough. She went to the clinic and had a series of tests ordered. Ultimately, she was diagnosed with acute congestive heart failure and was hospitalized in order to manage the heart...
Mrs. Smith is 82 years old and is diagnosed with hypertension, diabetes, and congestive heart failure....
Mrs. Smith is 82 years old and is diagnosed with hypertension, diabetes, and congestive heart failure. Her two children live in California, while she lives in North Carolina in a small family home on 10 acres of land in the blue ridge mountains. Mrs. Smith in the hospital four times in the last year due to congestive heart failure. As her eyesight and mobility get worse with age, she has found it a challenge to stay on her medical plan...
A58-year-old woman with chronic hypertension and diabetes mellitus was recently admitted to the hospital for congestive...
A58-year-old woman with chronic hypertension and diabetes mellitus was recently admitted to the hospital for congestive heart failure and new onset atrial fibrillation. She is now seeing you after discharge and, though feeling better, is still in atrial fibrillation. An echocardiogram shows an ejection fraction of 40%; there are no valvular abnormalities. An ECG reveals only atrial fibrillation. You calculate her risk using the CHADS (2) system and the score indicates that she requires anticoagulation rather than antiplatelet therapy. Questions...
A58-year-old woman with chronic hypertension and diabetes mellitus was recently admitted to the hospital for congestive...
A58-year-old woman with chronic hypertension and diabetes mellitus was recently admitted to the hospital for congestive heart failure and new onset atrial fibrillation. She is now seeing you after discharge and, though feeling better, is still in atrial fibrillation. An echocardiogram shows an ejection fraction of 40%; there are no valvular abnormalities. An ECG reveals only atrial fibrillation. You calculate her risk using the CHADS (2) system and the score indicates that she requires anticoagulation rather than antiplatelet therapy. Questions...
A. Chronic Pressure Ulcer – Stage 4 Your patient is a 47-year-old woman who has had...
A. Chronic Pressure Ulcer – Stage 4 Your patient is a 47-year-old woman who has had a history of diabetes for the past 25 years, is a stroke survivor, and has congestive heart failure. She developed a stage 4 pressure ulcer following an above the knee amputation six months ago during her hospital stay. She lives at home with her daughter, who is a nurse, and also has home health care three days a week for dressing changes. Home health...
An 80-year-old woman was admitted with a diagno-sis of hypertension, congestive heart failure, anemia, possible diabetes, and chronic renal failu She was treated with diuretics and IV fluids and released 4 days later. Her laboratory results are shown in Case Study Table below.Five months la she was readmitted for treat-ment of repeated bouts of dyspnea. She was placed on a special diet and medication to control her hypertension and was discharged. Medical staff believed that she had not been taking...
2. Ms Penny is a 69-year-old female with congestive heart failure. Her activity level and her energy level were declining over the past four weeks. She is mildly short of breath while performing her house chores. The cardiologist just added Digoxin 0.125 mg to her drug regimen. This is your first time administering this medication to Ms Penny a) What would be your first action? b) Is there any specific assessment required for this type of medication, if so what...
Renal Case Study: John Smith, 68 year-old male, is diagnosed with heart failure. He is also an asthmatic and diabetic. He is usually on 2 liters of oxygen, but is now requiring 6 liters of oxygen by nasal cannula. John is experiencing significant dyspnea upon exertion. You are caring for him and are responsible for interpreting his medication orders and subsequent nursing implications. Here are John's current vitals and medications: Vitals: HR: 58 BP: 168/90 RR: 24 . SpO2: 90%,...
Renal Case Study: John Smith, 68 year-old male, is diagnosed with heart failure. He is also an asti usually on 2 liters of oxygen, but is now requiring 6 liters of oxygen by experiencing significant dyspnea upon exertion. You are caring for him and interpreting his medication orders and subsequent nursing implications. he and medications: He is also an asthmatic and diabetic. He is of oxygen by nasal cannula. John is for him and are responsible for implications. Here are...
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