NURS 6521 Week 9 Assignment - Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders
Patient Health Needs and Treatment Regimen The patient, in this case, is an elderly 68-year-old male who has a history of chronic obstructive pulmonary disease (COPD), hypertension (HTN), hyperlipidemia (HLD), and diabetes. He presents with community-acquired pneumonia, which is an infection in the lungs caused by a bacterium (S. pneumoniae, H. influenzae, or Mycoplasma pneumoniae) or respiratory virus resulting in inflammatory changes and damage to the lungs (Leik, 2020). He is currently being treated with antibiotics, is unable to tolerate a diet, and has had recent complaints of nausea and vomiting. Because the patient has multiple comorbid diseases, combination antibiotic therapy is recommended. A β-lactam, such as Amoxicillin-Clavulanate, Cefpodoxime, or Cefuroxime, should be used in combination with a macrolide, such as Azithromycin or Clarithromycin, or Doxycycline. A respiratory fluoroquinolone, such as Levofloxacin, Moxifloxacin, or Gemifloxacin, would be used for monotherapy. Compared to monotherapy, patients with atypical microorganisms had a greater chance of being clinically stable after seven days of being treated with combination therapy (Garin, n.d.).
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