Infection disease case study | Pharmacology homework help
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PHRD 531 – PATIENT CASE 1 (Spring 2024) Due January 24 by 11:59 PM Submit Answers on Blackboard Ultra Via Link A 44-year-old female, TW, with a history of poorly controlled diabetes was admitted today with symptoms of increased urinary frequency/urgency and a fever. Upon initial examination, she complained of flank pain. Vital signs during the initial examination were unremarkable, except for a fever of 102.1◦F. When collecting a urine sample, the urine was noted to have a strong smell.
Labs performed at the time of admission:
Urinalysis: <5 epithelial cells, positive for nitrite, 4+ bacteria, 2+ leukocytes, 20-30 WBCs, and trace blood.
Home Med list:
-metformin 1000mg PO BID -Tresiba 20 units SC qAM Allergies: NKDA Empirically, Piperacillin-Tazobactam antibiotic therapy was initiated (3.75 g IV every 6 hours) for the treatment of complicated, acute pyelonephritis. Urine culture results later demonstrated E. coli sensitive to piperacillin-tazobactam . On day five of the IV antibiotic therapy, the patient experienced nausea, vomiting, weakness, and dizziness. Physical examination revealed elevated heart rate (105/min), normal blood pressure, pale skin, and yellowish discoloration of the eyes.
Labs performed on day five of IV antibiotic therapy:
Concisely answer each of the following 8 questions by referring to specific lab results and case details. A complete explanation for each question is required for full credit.