Broad-spectrum antibiotic while awaiting culture

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CASE STUDY I.

Your diabetic patient has severely infected leg ulcers. He is receiving a broad-spectrum antibiotic while awaiting culture and sensitivity results. This morning when you assess him he is lethargic and somewhat short of breath. His temperature, which has been 100.1oF (37.8oC) since admission, is 102.9oF (39.4oC). Although you have no standing order for an antipyretic, you think it would be a good idea to administer acetaminophen (Tylenol®) 500 mg and obtain further orders from his physician. Are you practicing within the law if you administer acetaminophen in this situation? What law holds you accountable in this situation?

CASE STUDY 2.

Your patient's physician has offered her a few choices of treatment options for her cancer. Her physician has told her that radical, disfiguring surgery seems to offer the best chance of five-year survival. The patient tells you that her family has always made decisions like this in a family meeting and has always continued their discussions until they all agree. She says that her family really wants her to go ahead with the surgery, but she's just not sure it's worth it. She thinks that after all, she's the one who has to undergo the surgery and live with the resulting disfigurement. Although you don't give her your opinion, you really do agree with her. You think that if you were in her situation, you'd opt for a more conservative choice. Should you tell her you agree with her and join the family meeting to help convince her family?

Reference no: EM133955545

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