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Posted: July 16th, 2023
Women's health and infectious disease | NURS 6521 - Advanced Pharmacology
By Day 3 of Week 9
Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.
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Patient Case Study 1:
HH is a 68 yo M who has been admitted to the medical ward with community-acquired pneumonia for the past 3 days. His PMH is significant for COPD, HTN, hyperlipidemia, and diabetes. He remains on empiric antibiotics, which include ceftriaxone 1 g IV qday (day 3) and azithromycin 500 mg IV qday (day 3). Since admission, his clinical status has improved, with decreased oxygen requirements. He is not tolerating a diet at this time with complaints of nausea and vomiting.
Ht: 5’8” Wt: 89 kg
Allergies: Penicillin (rash)
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Patient Health Needs
HH is a 68-year-old male with community-acquired pneumonia (CAP).
He has a history of COPD, hypertension, hyperlipidemia, and diabetes.
He is currently on empiric antibiotics, which include ceftriaxone and azithromycin.
His clinical status has improved since admission, but he is not tolerating a diet and is complaining of nausea and vomiting.
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Treatment Regimen
I would continue the current antibiotic regimen for a total of 10 days.
I would also recommend adding a proton pump inhibitor (PPI) to help with the nausea and vomiting.
I would monitor his blood pressure, blood sugar, and lipid levels closely while he is on antibiotics.
I would also recommend that he get a flu shot and pneumonia vaccine to help prevent future infections.
Patient Education
I would educate HH about the importance of completing the entire course of antibiotics, even if he starts to feel better.
I would also explain the potential side effects of the antibiotics, such as nausea, vomiting, and diarrhea.
I would encourage him to drink plenty of fluids and to eat a healthy diet.
I would also recommend that he get plenty of rest.
Justification
The current antibiotic regimen is appropriate for the treatment of CAP.
The addition of a PPI will help to reduce the risk of stomach ulcers and other side effects of antibiotics.
The monitoring of blood pressure, blood sugar, and lipid levels is important to ensure that the antibiotics are not causing any adverse effects.
The flu shot and pneumonia vaccine will help to prevent future infections.
Patient Education Strategy
I would use a variety of teaching methods to educate HH, including written materials, verbal explanations, and demonstrations.
I would make sure that he understands the importance of completing the entire course of antibiotics, even if he starts to feel better.
I would also explain the potential side effects of the antibiotics, such as nausea, vomiting, and diarrhea.
I would encourage him to ask questions and to let me know if he has any concerns.
I would also provide HH with written materials that he can take home with him. These materials would include information about CAP, the antibiotics he is taking, and the importance of completing the entire course of treatment.
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