A patient with end stage renal disease require treatment for herpes simplex virus. Which is
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Common treatments include acyclovir, valacyclovir, and famciclovir. Show more…
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A 70-year-old man presents to the (physician specializing in the integumentary system) with a generalized cutaneous eruption. He states that the rash started as (blisters ; small, fluid-filled raised spot on the skin, not hives) on the left side of his scalp and forehead, then spread to his trunk and extremities five days later. According to his description, the rash is mildly (adjectival form of severe itchiness) but not painful, and he denies fever or malaise. He is immunocompetent with no history of cancer, organ transplantation, or HIV infection. Physical examination finds multiple, (redness or flushing of the skin from word parts meaning red and blood in adjectival form), crusted (small, solid, circular raised spot less than 0.5 cm in diameter within the epidermis and dermis of the skin) and scattered vesicles in the affected areas. Herpes zoster results from reactivation of the varicella zoster virus commonly called . The syndrome is characterized by a painful, vesicular skin eruption that is generally restricted to one dermatomal distribution. In patients with cancer, HIV infection, a history of organ transplantation, or other conditions in which immunosuppressive agents are used, it may become disseminated. Disseminated zoster is clinically indistinguishable from primary (common name of disease caused by this virus, usually a childhood disease). Zoster infection is usually diagnosed on the basis of clinical appearance and is supported by a positive Tzanck smear established through exfoliative cytology. An agent such as acyclovir, should be administered immediately upon diagnosis. What is the medical term for a physician specializing in the integumentary system?
Sri K.
A nurse is explaining the use of acyclovir therapy to a 72-year-old man. nephrotoxicity is discussed as a major adverse effect in older patients. to minimize the risk of the patient developing this adverse effect, the nurse will advise him to
Adi S.
c. Tuberculosis may have spread to the body. d. He is experiencing a reaction commonly seen when INH and Streptomycin are given at the same time. 16. An adult client has pulmonary tuberculosis and is receiving INH 300 mg PO and Ethambutol GM PO daily and streptomycin 1 GM I.M three times a week. When he comes in for a check-up, he tells the nurse that he hates getting shots and his ears ring most of the time. What advice does the nurse expect will be given to this client? a. Take pyridoxine daily. b. Expect re-colored urine and feces. c. Stop the medications when the cough is gone. d. Take streptomycin by mouth instead of by injection. 17. An adult client is being treated for genital herpes with acyclovir (Zovirax) tablets. Which statement she makes indicates that she understands her therapy? a. "It is safe now to have sexual relations." b. "I will stay home from work until the blisters are gone." c. "This medicine will cure the herpes infection." d. "If the blisters come back, I will start taking the pills immediately."
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