Question

R.R., a 58-year-old man, presents to the clinic with complaints of increasing shortness of breath, chills, malaise, and cough productive of a yellowish-green sputum. His medical history is significant for hypertension and chronic lower back pain. He has a 35 pack-year history of cigarette smoking. Physical examination is significant for rales on auscultation of the chest. Clubbing of the fingernails is apparent. Vital signs are blood pressure 138/88 mmHg; pulse rate 96 beats/min; respiration rate 32 breaths/min; and temperature 99.7°F. Laboratory test results and chest x-ray findings are pending.

1. List the specific treatment goals for R.R.
2. What drug therapy would you prescribe? Why?
3. What are the parameters for monitoring the success of therapy?
4. Describe specific patient goals based on the prescribed therapy.
5. List one or two adverse reactions for the selected agent that would cause you to change therapy.
6. What would be the choice for second-line therapy?
7. What dietary and lifestyle changes should be recommended for this patient?
8. Describe one or two drug-drug or drug-food interactions for the selected agent.

Answer 1

1)specific treatment goals for RR

-to maintain airway clearence and breathing pattern

- to reduce the risk of infection

-to reduce the fever and chills

-to reduce the general weakness

-to maintain adequate fluid balance

-to provide comfort

2)Drug therapy:-

Antibiotic therapy should be started with cough medicine and antipyretics and analgesic

3)why

Antibiotics to treat bacterial pneumonia as patient has productive cough with yellowish green sputum. And also to reduce cough, fever and pain.

4)parameters to monitor the success of therapy

-check the vital signs

-hydrate the patient

-administration of medications as ordered by physician