Case
NRNP 6566 Week 9 Branching exercise
- Course
- NRNP 6566
- Institution
- Walden University
NRNP 6566 Week 9 Branching exercise
[Show more]
Seller
Follow
Content preview
A 68-year-old female is brought to the hospital from the acute rehabilitationfacility with complaints of shortness of breath and productive cough for 1
week. She was started on ciprofloxin 3 days ago, but her symptoms have
continued to worsen. Her past medical history includes hypertension,
hypothyroidism. She underwent a right knee replacement 2 weeks ago.
Current medications include lisinopril 10mg, levothyroxine 75mcg,
rivaroxaban 10mg daily and ciprofloxacin 500mg Q12. Her current symptoms
include fever, chills, productive cough with purulent green sputum, and
worsening shortness of breath. She is allergic to morphine. The patient is a
full code.
Current vital signs T 102.6 HR 92. RR 22 BP 128/82. O2 saturation is
96% on 4L of O2
Chest x-ray shows consolidation in the right lower lobe
CBC and CMP are all within normal limits
Decision Point one:
Discontinue the ciprofloxin
Initiate piperacillin/tazobactam 4,5 g IV every 6 hours,
tobramycin 5 mg/kg IV every 24 hours,
and vancomycin. 15 mg/kg every 12 hours
Results of #1:
This patient meets the criteria for hospital acquired pneumonia (HAP) due to
her surgery 2 weeks ago and inpatient stay at the rehabilitation facility. She
is at risk of drug resistant bacteria and MRSA. . A three drug combination for
broad spectrum coverage is indicated until culture and sensitivity report on
her sputum is available and antibiotic deescalation can occur.
The patient’s culture and sensitivity report for sputum and blood culture is
now available. Staph aureus grew from the sputum culture. Utilizing this
information, what adjustments to the patients’ antibiotics would you make
for admission ?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller xhonda909. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
73918 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now