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Posted: June 29th, 2022
Infection Case Study Week 9
Infection Case Study Week 9
RR is 48-year-old Hispanic (the best nursing writing service, a studybay for your papers) woman who comes to see you at the V.
A. homeless clinic. The major complaint is a six-day history of
worsening cough, productive of green sputum. There have been
fever and chills with complaints of pain in the right mid-back with
deep breathing or coughing. Further history reveals a history of
tobacco use of one pack of cigarettes a day for 30 years. There is
an incontainent health history as a result of Post-Traumatic Stress
Disorder (PTSD) and homelessness. On examination, the skin is
warm and clammy, pale; RR appears to not feel well; the
temperature is 100.5° F; respiratory rate is 24 breaths per minute;
pulse is 98 beats per minute; blood pressure is 120/75 mm Hg;
and saturation of oxygen is 96 percent on room air by pulse
oximetry.
Auscultation of the lungs reveals rales in the right lower-posterior
lung field. The remainder of the examination is within normal
limits.
1. What organism(s) do you most suspect and why?
2. What antibiotic would you recommend to treat RR with and
why?
3. What is the mechanism of action of this antibiotic? Provide
rationale
4. Do you have any counseling points for RR?
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