Homework Answers
The antibiotics which are excreted & detoxified by the liver may be used with the safety concerns in the patients with the cases of liver failure and sepsis. Further in this case the patients need emergency care as infections are very prone to be fatal. The early and in appropriate dosing the antibiotica in these cases increases the survival rate. Amoxycilline-clavulanic acid, co-trimoxazole, flucloxacillin are some common antibiotics used safely in hepatic impairment cases. Moreover to reduce the associated risks the rational drug therapy must be employed on the basis of the individualization of the patients.
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Your patient has been admitted with liver failure and sepsis. Describe the antibiotic (s) you anticipate...
1. what is the most likely reason for failure of the antibiotic therapy. describe the most...
1. what is the most likely reason for failure of the
antibiotic therapy. describe the most likely mechanism for this
treatment
2. what life theeatening immunology event could take place if
this infection continues? describe the molecular and cellular
mechanisms of this event.
30. A patient is admitted to the hospital with a fever of 103 deg F and demonstrated altered cognative function. Family members indicated that this is the second day that he has had a fever greater than...
TEACHING PLAN ON SEPSIS. Patient is a 78 year old Hispanic Female admitted with a Chief...
TEACHING PLAN ON SEPSIS. Patient is a 78 year old Hispanic Female admitted with a Chief complaint of S/P RT Hip replacment which was infected and she has severe sepsis without sepsis shock. She has anxiety disorder, hypertention, MRSA, UTI and Asthma she is allergic to levofloxacin resulting in itching, rash/hives no smoking history she is in total bed rest unable to move her lower extremities she also has a PICC line and a Foley Catheter. My main topic is...
Your patient Nicole is admitted with sepsis and you have an order for meperidine 29 mg...
Your patient Nicole is admitted with sepsis and you have an order for meperidine 29 mg intramuscular. A vial comes up Meperidine 100mg/mL. How many mL will you give? Your post-op patient has fentanyl 42 mcg intramuscular ordered. The vial you have is 250 mcg/mL. How much will you give? Your patient weighs 21 lbs. She has captopril 3 mg po QD ordered. The safe range is 0.3 to 0.5 mg/kg/day. You have Captopril solution 1mg/mL on hand. Is this...
30. A patient is admitted to the hospital with a fever of 103 deg F and...
30. A patient is admitted to the hospital with a fever of 103 deg F and demonstrated altered cognitive function. Family members indicated that this is the second day that he has had a fever greater than 100 deg F. Forty-eight hours later, the lab results of a blood culture indicate that the organism is a gram negative rod and identified as Klebsiella pneumoniae. Antibiotic susceptibility results are not yet available. The patient has been given a carbapenem antibiotic but...
6 30. A patient is admitted to the hospital with a fever of 103 deg F...
6 30. A patient is admitted to the hospital with a fever of 103 deg F and demonstrated altered cognitive function. Family members indicated that this is the second day that he has had a fever greater than 100 deg F. Forty-eight hours later, the lab results of a blood culture indicate that the organism is a gram negative rod and identified as Klebsiella pneumoniae. Antibiotic susceptibility results are not yet available. The patient has been given a carbapenem antibiotic...
Your patient has been admitted to your cardiac-telemetry unit with a working diagnosis of syncope. Explain...
Your patient has been admitted to your cardiac-telemetry unit with a working diagnosis of syncope. Explain one possible cause for syncope related to cardiac dysrhythmias and include a pharmacological treatment for the cause that you have chosen.
Your patient in the ICU has been admitted with a diagnosis of uncontrolled hypertension with end...
Your patient in the ICU has been admitted with a diagnosis of uncontrolled hypertension with end organ damage. He is a 195 lb. male with symptoms of renal failure. His BP on admission to the ER was 220/110. An arterial line has been placed in his right radial artery. He is currently on a Nipride drip 12 ml/hr ( you titrated to this level 5 minutes ago). The MD order reads, "Nipride drip to maintain systolic BP at 140 mmHg....
Your patient has been on a broad spectrum antibiotic for several weeks to treat a persistent...
Your patient has been on a broad spectrum antibiotic for several weeks to treat a persistent case of pneumonia. After his course of antibiotics is complete, his lungs are clear; however, he just visited you and you confirmed a urinary tract infection. What scenario best describes what likely happened? a. the antibiotic suppressed his immune system making him susceptible to secondary infection b. the patient likely had the urinary tract infection the whole time and just noticed it c. the...
You have been assigned a patient who was admitted for a total right knee replacement due...
You have been assigned a patient who was admitted for a total right knee replacement due to chronic osteoarthritis. What medications do you anticipate the health are provider would prescribe while the patient is in the hospital and why?
You are assigned to care for a patient who was recently admitted to your unit with...
You are assigned to care for a patient who was recently admitted to your unit with pneumonia and is ordered antibiotics. The physician starts with a cephalosporin (ceftriaxone) to attack the bacteria. When completing your initial assessment and patient history what would be concerning to you as the RN? What side effects and adverse reactions will you be monitoring for while the patient is taking a cephalosporin? What are the contraindications and interactions of cephalosporins? What are the nursing interventions...
1. what is the most likely reason for failure of the
antibiotic therapy. describe the most likely mechanism for this
treatment
2. what life theeatening immunology event could take place if
this infection continues? describe the molecular and cellular
mechanisms of this event.
30. A patient is admitted to the hospital with a fever of 103 deg F and demonstrated altered cognative function. Family members indicated that this is the second day that he has had a fever greater than...
6 30. A patient is admitted to the hospital with a fever of 103 deg F and demonstrated altered cognitive function. Family members indicated that this is the second day that he has had a fever greater than 100 deg F. Forty-eight hours later, the lab results of a blood culture indicate that the organism is a gram negative rod and identified as Klebsiella pneumoniae. Antibiotic susceptibility results are not yet available. The patient has been given a carbapenem antibiotic...
Your patient has been admitted to your cardiac-telemetry unit with a working diagnosis of syncope. Explain one possible cause for syncope related to cardiac dysrhythmias and include a pharmacological treatment for the cause that you have chosen.
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