Management Plan What are treatment options for this diagnosis? Antibiotics for 10-14 days and supportive treatment are the mainstays of care as outlined in plan below: First line treatment is IM streptomycin 30 mg per kg per day (up to 1 g twice daily). Alternatively gentamicin 5 mg per kg IM or intravenously (IV) once daily, or a 2 mg per kg loading dose followed by 1.7 mg per kg every 8 hours; doxycycline 100 mg IV twice daily (or 200 mg once daily); chloramphenicol 25 mg per kg IV every 6 hours; or ciprofloxacin 400 mg IV or 500 mg oral twice daily. Asymptomatic people having close contact with untreated pneumatic plague patients should receive post-exposure antibiotic prophylaxis for 7 days. Monitor for fever and cough. Tetracycline,
Education of the patient will begin. Depending on the size of the abscess and how extensive the procedure was the patient may need a relative or friend to drive them back home. Not only would the patient need a ride back home, they may need to be watched for 24 hours. As part of pain management pain medication may be given to the patient to decrease pain. Antibiotics may be given to fight or prevent infection caused by the bacteria. The patient will also need to list all medications that they are taking so there will not be any contraindications with the medications that the patient is given. Advise the patient that more than one follow-up appointment will be necessary in order to properly treat the wound. Before the end of the appointment, the medical assistant should give the patient written instructions along with an emergency number and the number to the practice incase the patient has any questions or concerns. Advise the patient to return to the practice if they experience any fever, chills, or the abscess returns. If red streaks appear around the wound tell the patient to call the emergency department immediately. After the the procedure and patient education has been completed, make sure all the step of the procedure has been documented in the patient’s record and all follow-up procedures have been
Antimicrobial therapy is the cornerstone sepsis treatment, and the therapeutic goal should be centered around administration of effective IV antibiotics within 60 minutes of septic shock or severe sepsis (without shock) recognition. The initial antimicrobial therapy should be empiric and focused on having activity against all expected pathogens (bacterial, fungal, viral), based on each individual patient situation. Daily reassessment of antimicrobial therapy should be performed, with de escalation in mind; procalcitonin levels can be of use to direct discontinuation in patients with no evidence of infection following initial septic
Bacteria vaginosis is treated with antibiotic medications (CDC). Metronidazole is commonly used. Metronidazole treatment does not adversely affect lactobacilli so they are able to recolonize the vagina and reduce the risk of late-stage relapse (Catlin, 1992). The cephalosporins available in the late 1970s were not very active against G. vaginalis.
One measure they had was that of the “red cross”. This is where they would paint a red cross on the doors of people who were diagnosed with the plague. I think this would have worked because it would let people know who had the plague, so that they could avoid falling ill themselves.
This discussion board is about the nurse’s scope of practice. The purpose of this posting is to discuss the definition and standards of the nurse’s scope of practice as defined by the American Nurses Association (ANA) and by the Ohio Board of Nursing with an example of how to use the standards of practice. Per the ANA, when determining the nurse’s scope of practice there is no one specific explanation that can be provided due to the fact that registered nurses can have a general practice or a practice that is very specialized. The limits that are placed on a RN’s scope of practice will depend on a registered nurse’s education, type of nursing, years as a nurse, and the patients receiving care. At the basic level, every nurse’s practice
1. What is the difference between a. and a. Which K, S, and A pertain to the care you provided to the patient you have chosen? Why do you need to be a member? K- Describe the limits and boundaries of therapeutic patient-centered care. S- Assess levels of physical and emotional comfort.
Treatment: Chemotherapy is on treatment method. Most infected people benefit from the treatments. To of the best drugs for treatment are Praziquantel and Oxamniquine. The side effects are mild and transient, some of then are as followed:
In his “Introduction to the Decameron,” Giovanni Boccaccio describes the plague’s harsh symptoms. This author mentions the individuals swelling and developing bruises; however, he employs a personal witnessing report on the grotesque nature. His story involving pigs feasting on a pauper who died from the disease gives insight into the body’s physical deterioration. According to Louis Sanctus, the plague breaks down into three stages. The first stage, the bubonic plague, has a life expectancy of three to six days. Its symptoms include swelling of the underarms, neck, or groin; increased body temperature, bleeding and vomiting, and disorientation. The second, the pneumonic plague, has two to three days of life expectancy. This hazardous stage inflames the lungs, leading to a discharge of pus. Thirdly, the septicemic stage gives no person a chance of life because the person would have only a few hours to live. As the deadliest form, bacteria would poison the blood resulting in a painful death. Doctors and families provided little to no assistance for the victims. Sanctus writes, “the doctor does not visit the sick for fear of this contagion…nor anyone another who may be a blood relation, unless he wishes to suddenly die like him or follow him [to the grave] immediately” (Aberth, 34). Under the pope’s direction, medical professionals from
The modern nurse has much to be thankful for because of some of the early pioneers of nursing, such as Florence Nightingale and Jensey Snow. However, the scope and influence of professional nursing, as well as the individual nurse, has seen more exponential growth and change in North America since the establishment of the first professional organization for nursing, the Nurses Associated Alumnae of the United States and Canada, which in 1911 came to be known as the American Nurses Association.
This is a great opportunity for students to evaluate themselves and acknowledge their weaknesses and strengths. This paper will discuss my success plan in nursing program.
Brunner, L.S. & Suddarth, D. S Textbook of Medical- Surgical Nursing, 1988 6th ed. J. B. Lippincott Company, Philadelphia
• If antibiotics were prescribed, take them as directed. Finish them even if you start to feel better.
The pneumonic plague is transmitted through any form of infection. There is one to three days inc...
...lized. The microorganisms that can be sensitive to trimethoprim-sulfamethoxazole are gram negative and gram positive bacteria. Treatment dosage for trimethoprim-sulfamethoxazole is one double strength tablet or two single strength tablets every 12 hours.
• If you were prescribed an antibiotic medicine, take it as told by your health care provider. Do not stop using the medicine even if your condition improves.