Which is resistant to azithromycin susceptible to amoxicill

Assignment Help Biology
Reference no: EM133310426

Case Study: Colin Walker is 84 yo. He lives the Mount Morgan Residential Aged Care Home. The Nurse Practitioner who provides Colin's care at the residence has called the Community Rapid Response Team because Colin has not responded to the prednisolone (oral corticosteroid) and azithromycin (antibiotic) prescribed 3 days ago for a productive purulent cough. At the time, sputum and blood samples were sent to pathology.

Collect cues

Past medical history: Osteoarthritis Early dementia Prostate cancer - received his third dose of chemotherapy last week Colin has been vaccinated for the following: influenza, Covid-19

Physical assessment: Respiratory rate = 32 bpm SpO2 = 92% on 2L oxygen via nasal prongs BP = 178/96 mmHg: MAP 123 mmHg HR = 110 bpm Temp = 39.6oC Colin has experienced episodes of severe shivering (rigors) Palpation: enlarged neck lymph nodes

Respiratory assessment: Productive cough - tenacious, green sputum Complaining of dyspnoea Inspection: accessory muscle use, respirations shallow, can only speak in single words Auscultation: unequal air entry, crackles heard in all lung fields, reduced breath sounds, widespread wheezing

Pain assessment: P (provoking) - breathing Q (quality) - sharp & stabbing R (region and radiation) - chest S (severity) - at worst 6/10 T (time) - past 24 hours Pathology results: Haemoglobin: 140 g/L (ref range (male): 140 - 175 g/L) White cell count: 6.0 X 10^9/L (ref range: 4.5 - 11.0 x 10^9/L Neutrophils: 2.0 X 10^9/L (ref range: 1.8 - 7.8 X 10^9/L (1.8 million - 7.8 million neutrophils per millilitre of blood))

Question: Sputum culture: positive for Streptococcus pneumoniae which is resistant to azithromycin, susceptible to amoxicillin

Reference no: EM133310426

Questions Cloud

Which would you use microdrip or macrodrip : Which would you use, microdrip or macrodrip? How would you check for infiltration? What nursing interventions would you do for to remedy this problem
What medication is most important for each patient : What are the most important lab values to review for each patient? Explain WHY. What medication is most important for each patient? Explain WHY.
What is going to happen to his body after all the medication : Give me pathophysiological answer to the question what happened to his body and what is going to happen to his body after all the medication ?
Explain how the law can be made by parliament : Are you able to explain how the law can be made by parliament and through court decisions?are you able to comment on the effectiveness of these two methods
Which is resistant to azithromycin susceptible to amoxicill : Sputum culture: positive for Streptococcus pneumoniae which is resistant to azithromycin, susceptible to amoxicillin
Future threat environment in terms of nuclear weapons : Describe the current and projected future threat environment in terms of nuclear weapons, Asymmetric, Virtual and Cyber threats?
Outline one future trend in domestic and global terrorism : Outline one future trend in domestic and global terrorism. Why is it important to address this threat as time moves forward?
Create in a one whole day sample menu for a diet : Create in a 1 whole day sample menu for a 1,800 kcal diet at 50-20-30. Menu plan must include: Breakfast, AM snack, Lunch, PM snack, and Dinner.
why, it was too casual to be a real apology : why? it was too casual to be a "real" apology . when clinton made his statement, he was outdoors and wearing a polo shirt

Reviews

Write a Review

Biology Questions & Answers

  Immune response to infectious disease

It is a very curcial concept to understand how the immune response is mounted against viruses, bacteria, protozoans and helminthes. For an effective immune response, both innate and adaptive immunity should work together.

  A review on advanced glycated end products (ages)

This Project report elaborates a critical review of important elements attached to Advanced Glycated End Products (AGEs). It is very crucial to understand the process called Millard reaction.

  Plastic as a soil stabilizer

Soil stabilization is the permanent physical and chemical alteration of soils to enhance their physical properties. Stabilization can increase the shear strength of a soil and control the shrink-swell properties.

  Principles of microbiology

This assignment has three parts which contains questions related to Microbiology. It contains basic principles of microscopy, staining techniques in microbiology and microbial growth in the food industry.

  List the biologic functions

Lipid metabolites are often seen as key elements in cellular signaling. Is this unique? Please provide several examples of the function of lipids as key elements in signal arrays and list the biologic functions these signals affect?

  Biologic function relationships

Please describe how one might search for chemical structure, biologic function relationships, involving small molecular weight lipophylic compounds. Provide one example.

  Case study on patient in the haematology laboratory

Write a case study which detailing a scenario of a patient being investigated in the Haematology laboratory.

  Use of pcr and genetic approaches in biotechnology

The use of PCR and genetic approaches in biotechnology

  Describe the role of this enzyme in honey

Glucose oxidase is an enzyme that can be used for measurements of glucose levels by combining this reaction with an oxygen probe.

  Genetic problems

What phenotypic ratio would you get if you crossed a white mouse and a heterozygous brown mouse?

  Prepare an essay on nosocomial infection

Prepare an essay on nosocomial infection.

  Monitoring and recording the blood pressure

To increase the awareness of monitoring and recording the blood pressure of patients and practice measuring blood pressure in a safe environment.

Free Assignment Quote

Assured A++ Grade

Get guaranteed satisfaction & time on delivery in every assignment order you paid with us! We ensure premium quality solution document along with free turntin report!

All rights reserved! Copyrights ©2019-2020 ExpertsMind IT Educational Pvt Ltd