Question

A 67 y.o. (year old) female presents to the ER with increasing L lower abdominal pain for 3 days. She has had a fever of 102F for the past 2 days, nausea and 3 episodes of bloody diarrhea since yesterday. Her past history is significant for diverticular disease and HTN (hypertension). She has been admitted 2 times previously for diverticulitis, the last one being approximately 1 ½ years ago. On examination the patient is in moderate distress and febrile at 102.5F and her BP is 140/90. Her abdomen is slightly distended and appreciably tender throughout the L lower abdomen. The decision is made to admit her with a diagnosis of acute diverticulitis. 1) Before beginning drug therapy, what 2 factors related to the history not present above must be known. a. b. 2) Name 2 bacteria (not just "gram-neg rods") that you are familiar with that could possibly be causing this infection. a. b. 3) Before starting an antibiotic, name 4 factors that need to be taken into consideration with regard to the drug itself and the patient. a. b. c. d. 4) Based on your answers to #3, what would be the BEST CHOICE for an antibiotic at this time? 5) What type of "diet order" should be given for this patient? 6) What "activity level" should be assigned for this patient at this time? (take into consideration the history above, patient age, elimination needs; Ex; bed rest, bed rest with bed side commode, etc.)

          A 67 y.o. (year old) female presents to the ER with increasing L lower abdominal pain for 3 days. She has had a fever of 102F for the past 2 days, nausea and 3 episodes of bloody diarrhea since yesterday. Her past history is significant for diverticular disease and HTN (hypertension). She has been admitted 2 times previously for diverticulitis, the last one being approximately 1 ½ years ago. On examination the patient is in moderate distress and febrile at 102.5F and her BP is 140/90. Her abdomen is slightly distended and appreciably tender throughout the L lower abdomen. The decision is made to admit her with a diagnosis of acute diverticulitis.

1) Before beginning drug therapy, what 2 factors related to the history not present above must be known.
a.
b.

2) Name 2 bacteria (not just "gram-neg rods") that you are familiar with that could possibly be causing this infection.
a.
b.

3) Before starting an antibiotic, name 4 factors that need to be taken into consideration with regard to the drug itself and the patient.
a.
b.
c.
d.

4) Based on your answers to #3, what would be the BEST CHOICE for an antibiotic at this time?

5) What type of "diet order" should be given for this patient?

6) What "activity level" should be assigned for this patient at this time? (take into consideration the history above, patient age, elimination needs; Ex; bed rest, bed rest with bed side commode, etc.)

A 67 y.o. (year old) female presents to the ER with increasing L lower abdominal pain for 3 days. She has had a fever of 102F for the past 2 days, nausea and 3 episodes of bloody diarrhea since yesterday. Her past history is significant for diverticular disease and HTN (hypertension). She has been admitted 2 times previously for diverticulitis, the last one being approximately 1 ½ years ago. On examination the patient is in moderate distress and febrile at 102.5F and her BP is 140/90. Her abdomen is slightly distended and appreciably tender throughout the L lower abdomen. The decision is made to admit her with a diagnosis of acute diverticulitis.

1) Before beginning drug therapy, what 2 factors related to the history not present above must be known.
a.
b.

2) Name 2 bacteria (not just "gram-neg rods") that you are familiar with that could possibly be causing this infection.
a.
b.

3) Before starting an antibiotic, name 4 factors that need to be taken into consideration with regard to the drug itself and the patient.
a.
b.
c.
d.

4) Based on your answers to #3, what would be the BEST CHOICE for an antibiotic at this time?

5) What type of "diet order" should be given for this patient?

6) What "activity level" should be assigned for this patient at this time? (take into consideration the history above, patient age, elimination needs; Ex; bed rest, bed rest with bed side commode, etc.)

Added by Jonathan W.

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