4. J.C., a 70 year old male (5'8", 100 kg) is to begin Vancomycin (along with Zosyn and Levaquin) for broad-spectrum coverage for pneumonia (moderate infection with goal AUC 500-600). WBC=13.8, SCr=0.9 mg/dL. Using AUC dosing, please come up with a dosing regimen that is appropriate for JC. a. What is the dosing weight? CrCl ? b. What LD & MD & interval would you recommend? c. When should you order a vancomycin trough for J.C?
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- Zithromax 1gm loading dose then 500mg 1 tablet p.o. od Omeprazole 40 mg 1 capsule p.o.od ac Metoclopramide 10mg q 8 hrs PRN for vomiting Paracetamol 500 mg I tab PRN for fever How is it effective? Exact time to be given: Client-teaching: Keys to remember:A. Write down which feature of the immune system is expressed in each of the cases 1-5. 1. A child injured from a rusty object is resilient with a passive vaccine and an active vaccine against tetanus. ( Also explain what a vaccine is Active and what is a passive vaccine). 2. Polio should be vaccinated at the age of one year, at the age of 3 and at the age of 5. 3. Children should be vaccinated against a variety of diseases: measles, mumps, jaundice, whooping cough. 4. Soil and horseradish vaccine is not a cure for whooping cough. 5. Before receiving a kidney donation one should check what is the blood type of the donor and the recipient and should give The recipient of the kidney has anti-rejection drugs. B. In which cells or parts of cells is the feature of section 2 expressed? C. In which cells or cell parts is the feature of section 5 expressed?21F-NUR1290 unit 8/Anti-infectives : 1 pt. for answering questions and 1 pt. creating drug map (all items included) With the information below, DRAW a Med Map that includes the following antibiotic categories, actions, use/indications, adverse reactions, & nursing management. Where an example drug is provided, insert it into the map. Antibiotics 1. Sulfonamides a. sulfamethoxazole/trimethoprim 2. Beta-Lactam Antibiotics a. Penicillins Extended-spectrum penicillins combined with beta-lactamase inhibitor 1. piperacillin/tazobactam (zosyn) b. Cephalosporins i. 1st generation: ii. 2nd generation: iii. 3rd generation: ceftriaxone iv. 4th generation: cefepime v. 5th generation: Nrsg Ningmt Sulfonamides Example vanbapehn meropenem d. Monobactams: az onam action 3. Macrolides: Antipiotics 4. Tetracyclines: 5. Aminoglycosides: gentamicin 6. Quinolones: ciprofloxacin 7. Miscellaneous Antibiotics a. metronidazole Beta Lactam b. vancomycin Cephalosprins Penicillins 21 Fall-Unit 8-Schulte
- Topic: Allergic reactions. Hypersensitivity of the immediate type Plan: 1. Classification of allergic reactions 2. Development of hypersensitivity of the immediate type and its stage 3. Clinical manifestations of hypersensitivity of the immediate type 4. Scheme of emergency care in case of anaphylactic shockDiscuss a Case Study about hypersensitivity or allergy. The case study should include the following: 1. Name of the patient 2. Background/profile of the patients 3. Type of Allergy 4. Signs and symptoms 5. Laboratory Test/Results 6. Treatment 7. PreventionI. A Case StudyA 30-year-old man was transported to the emergency room with an unexplained fever, headache, and dizziness for the past two days, as well as indicators of dehydration and epistaxis. An initial examination revealed an oxygen saturation of 86%. (95-100 percent ). A positive Dengue IgM/IgG test and a platelet count of 15.0 mm3 are found in the laboratory (150, 000-450, 000 mm3). As a result, the physician gave the patient a blood transfusion and monitored his hydration level. 1. What blood component is most likely to be impacted and exhausted based on the indications and symptoms (headache + dizziness)? 2. What plasma component is most likely to be altered (elevated) physiologically in the setting of dehydration in the patient's case? 3. In the patient's instance, which blood component was most likely decreased when he had epistaxis? 4. In the patient's situation, what type of WBC is elevated? What is the morphology and granularity of the nucleus?
- Clindamycin 5 mg/kg/day IV QID for infection is ordered. You have Clindamycin 150 mg/mL. The child weighs 44#. a. How many mg per dose will the child receive?Give an brief explanation: Case study: A 69-year-old male is preparing to undergo a lung transplant. The transplantation laboratory is playing a major role in the preparations by consulting with the surgical team performing the transplant. 1. Allograft transplants have an associated risk of organ or tissue rejection. The main reason for rejection is:Choose the letter and give a brief explanation. A. inflammation. B. infection. C. the patient's immune mechanisms. D. transplanting tissue that is not viable.Ordered: Amoxicillin 100,000 units/kg/dose q12h Weight: 40 lbs (round to the nearest tenth) Recommended dose: 100,000-250,000 units/kg/dose Available: 150,000 units/mL A) what is the safe daily range for this client in units? B) is the ordered dose safe? C) How many mL will the client receive as ordered per dose? D) How many mL will the client receive as ordered per day?
- explain reasons for IV therapy -unconcious -nil by mouth -only route emergencyQuestion: Can you make an Introduction paper about the given Case Scenario? INFANT WITH TETRALOGY OF FALLOT Case Scenario: Baby Pearl, a 9-month-old girl presents to the emergency department with his mother,who reports episodes of tachypnea, cyanosis, and irritability during feeding. The mother explainsthat these episodes have become more frequent, with baby Pearl becoming more cyanotic aroundthe mouth and fingers especially when crying (tet spells) when she was around 7 months old.These episodes resolve spontaneously but are occurring every few days. The mother breastfeeds every 3 hours, but sometimes takes a long time to feed. She alsoobserved that baby Pearl becomes diaphoretic with feeding, and stops frequently to catch herbreath while feeding. She reported to the nurse that vomiting the milk (sometimes goes out fromthe nose) and becomes more frequent after feeding. The patient currently appears comfortable,with no signs of respiratory distress, fever, or neurological…Give the newly approved agents for Community-Acquired Pneumonia Provide the following MOA, Contraindication, Dosage Regimen, Adverse Drug Reaction