Pneumonia case study questions
Lack of improvement at the follow-up visit would be an indication for hospitalization, as would deterioration while being treated.
Pneumonia case study examples for nursing students
He was febrile with a temperature of What are valid, reproducible, and quantifiable clinical end points outcomes? The only medication he takes is acetaminophen occasionally, for headaches. Discharge the patient on oral azithromycin B. Admit the patient to the hospital and start intravenous cefipime C. These are the hard questions and illustrate some of the many reasons for this workshop: Is the patient of sufficient reliability to participate in an outpatient clinical trial of antibacterials for mild CAP? Admit the patient to the hospital and start intravenous ceftriaxone and azithromycin B. Laboratory parameters include WBC of 2.
Participants in this workshop uniformly agreed that the interaction of US Food and Drug Administration regulations, industry sponsors, and Infectious Diseases Society of America academics represents an opportunity to modernize future clinical trials for CAP.
Medical history. Specifically, the leukopenia, hypoxia, hypotension, and mild uremia all indicate the need for closer monitoring.
What is the likely microbiological diagnosis? Other regimens may be used as well. The pneumococcal urinary antigen test pUAT is a useful diagnostic tool, especially in patients who have high risk of pneumococcal pneumonia.
Pneumonia history taking
Stralin, K. However, 2 subgroups constitute a significant percentage of the total. His body temperature is Murdoch, D. Guidelines recommend performing pUAT in patients requiring intensive care admission, those who have failed outpatient antibiotic therapy, leucopenia, active alcohol abuse, chronic severe liver disease, asplenia, or pleural effusion. Chest radiography documents bilateral lower lobe infiltrates that are more pronounced on the right side. Based upon the above presentation, which of the following is the most appropriate course of action? J ClinMicrobiol. In this case, based upon the information provided, the patient can be allowed to go home and start oral antibiotics, and then re-evaluated to see if he is improving.
Furthermore, he had been on antibiotics for several days, which likely would have penetrated into his sputum sample to inhibit bacterial growth on the culture media. Scales such as the Pneumonia Severity Index PSI can be used to judge if admission is necessary, in addition to the clinical impression of the practitioner.
based on 83 review