Class activity 11.3Check on criteria set for pneumonia patients four-day treatment and care.
Added by Matthew C.
Step 1
This includes understanding the specific medical protocols, medication schedules, monitoring parameters, and any special care requirements outlined for the treatment of pneumonia over a four-day period. Show more…
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Mr. smith returned to the nursing home three days ago after a hospital admission for pneumonia. he was started on a new atb on the day he was readmitted to the nursing home. after three days mr. smith is not showing signs of improvement. what would be the best nursing action?
Sri K.
A young, previously fit man presents with a one-week history of a 'flu-like illness which has worsened over the past 24 hours. His temperature is 39.5 °C with a heart rate of 100 and increased respiratory rate. His chest X-ray shows diffuse mottled shadowing in both lung fields. A diagnosis of community-acquired pneumonia is made, and he is started on co-amoxiclav and clarithromycin. After 24 hours, his condition has not improved, his temperature is 39 °C, and a repeat chest X-ray reveals multiple nodular shadows with the possibility of a fluid level. What investigations will you carry out? What organisms are most likely to cause community-acquired pneumonia in a young patient? What element in the history makes one of these organisms more likely? What features are particularly alarming in this history - what might this be due to? What changes would you make to the antibiotic therapy? What laboratory characteristics will help identify this organism?
Supreeta N.
Early one morning, a patient is admitted to a hospital for a respiratory disease. As part of the admission procedure, a sample of urine is taken from the patient, left at the nursing station desk, and taken to the lab in the afternoon. Later, laboratory analysis shows the presence of counts of Escherichia coli of 300,000 bacteria per ml. The resident determines that urinary infection exists and orders antibiotic therapy for that infection. The respiratory infection worsens, and the patient is placed in intensive care. Sputum cultures show the presence of gram-positive diplococci. Antibiotic sensitivity testing shows sensitivity to ceclor and ciprofloxacin and resistance to other antibiotics. Therapy is started with ceclor, and recovery occurs.
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