01 Oct Antibiotics and Clostridium Difficile Discussion
Antibiotics and Clostridium Difficile Discussion
Read the Case Study 11-2: Go to the Hospital and Come Back with Four More Medications in Chapter 11 of the textbook.
Once you have read the Case Study thoroughly, answer the following questions:
What does the administration of antibiotics have to do with a Clostridium difficile (C. diff infection) infection?
List all the inappropriate medications prescribed for K.L. and describe the reason why they are inappropriate.
What kind of treatment regimen is utilized for a patient with a C. diff infection?
Do any of these treatments regimens raise suspicion as being inappropriate for K.L.?
List the therapy and if contraindicated, give a reason why it is inappropriate.
Your paper should be:
One (1) page or more.
Use factual information from the textbook and/or appropriate articles and websites.
Cite your sources – type references according to the APA Style Guide.
Case Study 11-2: Go to the Hospital and Come Back with Four More Medications K. L. is an 84-year-old man who was sent to the hospital for treatment of possible urinary tract infection (UTI) and dizziness with fever. He has lived in assisted living at SHV assisted living facility for the past 4 years. K. L.’s hospital course was complicated by aggressive antibiotic treatment resulting in a Clostridium difficile infection and diarrhea. Geriatric Nurse Practitioner B. G. checked on K. L. the first day after he returned from the hospital. B. G. compared her chart records to the new posthospital discharge records and found several discrepancies and inappropriate medication changes: Ht = 6 ft 1 in, Wt = 178 lb, BP = 125/65, RR = 18, HR = 72 PMH: DM2, HTN, OsteoArthritis, CAD, Afib, chronic UTI (colonization) Labs: CMP within normal limits (WNL) except for creatinine 1.8, BUN = 32, glucose 72; K = 3.0 CBC WNL; Lipid panel TC = 70, LDL = 127, HDL = 65
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