Question

HH is a 68 yo M who has been admitted to the medical ward with community-acquired pneumonia for the past 3 days. His PMH is significant for COPD, HTN, hyperlipidemia, and diabetes. He remains on empiric antibiotics, which include ceftriaxone 1 g IV qday (day 3) and azithromycin 500 mg IV qday (day 3). Since admission, his clinical status has improved, with decreased oxygen requirements. He is not tolerating a diet at this time with complaints of nausea and vomiting. Ht: 5’8” Wt: 89 kg Allergies: Penicillin (rash)

Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.

Answer 1

The treatment of pneumonia includes administration of the appropriate antibiotic as determined by the results of a culture and sensitivity. Inpatient should be switched from intravenous to oral therapy when they are hemodynamically stable and are able to take medication, fluids by mouth.

Antibiotics are ineffective in viral upper respiratory tract infections and pneumonia. If hypoxemia is developed oxygen administration should be done. ABG analysis should be done . Improve the airway patency by providing an upright position to the patient .

Provide health education to the patient about the disease conditions. Monitor and manage potential complications. Identify the source and causative agent of disease.