Discussion: Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders NURS 6521

 
In this case study, a 60-year-old male is admitted to the hospital with community-acquired pneumonia. The patient’s medical history includes COPD, hypertension, hyperlipidemia, and diabetes. In this case study, the patient was given 500 mg of azithromycin. This is a type of macrolide medication. This antibiotic has a broad spectrum and can combat many gram-positive bacteria. This medication has also been linked to liver toxicity. Some of this medication’s side effects include nausea and vomiting. The patient was also given 1 g of ceftriaxone. This is a subclass of beta-lactams. These antibiotics inhibit bacteria by covalently binding to PB P in the cytoplasmic membrane. This medication’s side effects can include diarrhea, nausea, rashes, and super infections. By combining both antibiotics, the patient will receive a broad spectrum of coverage to prevent further bacterial growth. We have no idea what type of bacteria is causing the pneumonia. Until the laboratory results for bacterial cultures and sensitivities come back, it is worth waiting to see what type of bacteria and antibiotics will work for this specific patient. The patient is allergic to penicillin, but the antibiotic is working well for him. He has not been hypersensitive. If the patient develops hypersensitivity, he or she can be given doxycycline or cephalosporins, which can also provide excellent broad-spectrum coverage for pneumonia.

Osteoporosis is a condition in which an individual’s bone is brittle. This is due to the bon

Discussion Women and Men Health Infectious Disease and Hematologic Disorders NURS 6521
Discussion Women and Men Health Infectious Disease and Hematologic Disorders NURS 6521
e unable to keep up with the process of new bone formation in balance with bone mineral removal. There are many risks involved with having this disease process such as easy fractures, and severe back issues like compression of vertebras. Risk factors for osteoporosis include family history, female, excessive alcohol, diet deficient in calcium and vitamin D, and many more. The nurse may educate patient on the disease process as well as screen the patient for complications. The nurse can educate the patient on a diet low in caffeine, alcohol, provide resources for exercises for bone strength as well as a diet that supports healthy bone.

Patients  has a history of COPD, patient’s oxygen saturations must be monitored on a continuous basis. And if needed, patient must be given supplemental oxygen. Patient also has high blood pressure so  blood pressure must be monitored .The type of medication that I would prescribe would be angiotensin receptor blocker for example Losartan, and irbesartan. ARB are the first line of anti-hypertension medication to be prescribed to treat hypertension. This medication works by blocking receptors that act on hormone especially a T-1 receptors by blocking the action of angiotensin two and helps lower blood pressure. Some side effects may be vomiting, diarrhea, and dizziness. Patient also has hyperlipidemia.I would prescribe a statin medication to help lower cholesterol levels. Patient has diabetes. Patient requires monitoring of  blood glucose levels even with pneumonia. I would prescribe Metformin and insulin since patient is not able to tolerate PO, I would prescribe insulin.