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Case Study #4 George is a 75-year-old man who presents to the hospital with a cough...

Case Study #4

George is a 75-year-old man who presents to the hospital with a cough and increased breathlessness; he has thick green sputum and is feeling feverish and has a loss of appetite. He has a history smoking and of moderate COPD and is on inhaled therapy.  On examination of his chest, he has coarse sounding crackles heard over the base of the right lung, which do not clear on coughing, and there is a dull percussion noted in the right lung base. The provider diagnosed George with community acquired pneumonia.

  1. Which pathogens would you consider might have caused George’s pneumonia?
  1. Which antibiotics would be appropriate treatment?

  1. What medication would the doctor order for George to help him break up the secretions in his lungs?
  1. What advice would you give to George and his family regarding the antibiotic treatment?

  1. What advice would you give to George and his family regarding prevention of pneumonia in the future?

  1. What vaccines would you recommend for George, and how often should take the vaccines?

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Answer #1
  1. Which pathogens would you consider might have caused George’s pneumonia

-Strep Pneumoniae

     2.Which antibiotics would be appropriate treatment?

-Penicillin G

-Cephalosporins

      3.What medication would the doctor order for George to help him break up the secretions in his lungs?

-Acetylcysteine

      4.What advice would you give to George and his family regarding the antibiotic treatment?

- should continue the treatment without relapse for 5 days

      5.What advice would you give to George and his family regarding prevention of pneumonia in the future?

-Vaccination

-prevent respiratory infections by:

  • Washing your hands regularly
  • Cleaning surfaces that are touched a lot
  • Coughing or sneezing into a tissue or into your elbow or sleeve
  • Limiting contact with cigarette smoke or quitting smoking
  • Taking care of medical conditions (like asthma, diabetes, or heart disease)

6.What vaccines would you recommend for George, and how often should take the vaccines?

-PPSV23( Pneumococcal polysaccharide vaccine 23)

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