U.S government Case Study 2 Antimicrobial Drugs Overview: Gerald Lake, 33 years old, endocarditis an infection he acquired from IV drug use. Vancomycin 1gm IV q6h set to infuse over 1 hour, after 15 minute, half of the antibiotic has been infused. Vancomycin is used only when the other antibiotics fail to resolve an infection. Vancomycin brand name is Vancovin. It is in a class of medication called glycopetide antibiotics.
Contiguously spread of infection within the biliary duct is also possible. Serum amylase rises within 6 to 12 hours of the onset of acute pancreatitis. Serum lipase rises within 4 to 8 hours of the onset of symptoms, peaks at 24 hours, and returns to normal within 8 to 14 days. Although our patient did consume alcohol few days before presentation, a negative alcohol screen and normal pancreatic enzymes on presentation make alcohol a less likely offender. Interestingly, since pancreatitis developed after patient tested positive for salmonella bacteremia, it seems the likely cause of pancreatitis.
Lesson 7 Small-Group Discussion. Patient Safety Step 1 In a report by the Institute of Medicine (2006), Titled, Preventing Medication Errors, “The committee concludes that there are at least 1.5 million preventable adverse drug events (ADE’s) that occur in the United States each year.” These numbers are astonishing given the number of adults that are taking prescription medications daily. Most of the errors occur during the prescribing and administering steps and during an average hospital stay, a patient can expect to have one medication error occur every day (Institute of Medicine, 2006). Medication errors are preventable adverse events and costly to patients, insurance companies and health care organizations (Institute of Medicine, 2006). It is estimated that for every adverse drug event that occurs in a hospital, adds over 8,000 to the hospital stay (Institute of Medicine, 2006).
Kalebi AY, Hale MJ, Wong ML, Hoffman T, Murray J. Surgically cured hypoglycemia secondary to pleural solitary fibrous tumour: case report and update review on the Doege-Potter syndrome. Journal of cardiothoracic surgery. 2009 Aug 18;4(1):45. 2. Daughaday WH, Kapadia M. Significance of abnormal serum binding of insulin-like growth factor II in the development of hypoglycemia in patients with non-islet-cell tumors.
Olszewski, W.L., Jamal, S., Manokaran, G., Pani, S.P., Kumaraswami, V., Kubicka, U., Lukomska, B., Dworczynski, A., Swoboda, E. & Meisel-Mikolajczyk, F., 1997. Bacteriologic studies of skin, tissue fluid, lymph, and lymph nodes in patients with filarial lymphoedema. American Journal of Tropical Medicine and Hygiene, 57(1), pp.7–15. 48. Dreyer, G., Addiss, D., Dreyer, P. & Noroes, J., 2002.
Duodenal perforation is a very common and fatal complication in patients of chronic peptic ulcer symptoms with inadequate or no medical treatment. Different from the above two studies, Elnagib et al (2008) reported the maximum incidence of peptic ulcer perforation i.e. 38% in still younger patients of age group of 20-30 years. NSAIDs abuse is amongst an important causative factor for perforation accounting for a total of 43% patients with stress and alcoholism together accounting for 23%
The mesiodens was extracted under local anesthesia (Fig 3) along with the extraction of 64 followed by orthodontic space closure by a removable appliance (Fig 4). Fig 3 Fig 4 Fig 3 and 4 showing Extracted specimen mesiodens, removable appliance with 11 and 21. The patient was kept under observation and recalled after 3 weeks. After 3 weeks the labial frenum’s inflammatory enlargement was recorded (Fig 5); so it was planned to perform a frenectomy procedure (Fig 6) followed by continuation of the removable orthodontic appliance (Fig
Doxepin inhibits reuptake of monoamines at central synapse. Dosage is 25mg thrice daily which can be gradually increased to 50mg. Selective serotonin reuptake inhibitors inhibit drug metabolizing isoenzymes CYP2D6 and CYP3A4. Dosage for Fluoxetine is 20 mg once daily which can be increased upto 80mg in two divided doses. Sertraline is started as 50mg once daily and increased upto 200mg/day.
To our knowledge, our case is the youngest one who received a high dose of cisplatin (500 mg/m2) in the absence of intravenous hydration, and nephrotoxicity result in renal failure, hearing loss, visual impairment, severe myelosuppression complicated by life-threatening sepsis were presented in this patient. Although vigorous therapies were given, the patient decreased. As the toxicity of cisplatin is dose-dependent, early elimination of the drug from plasma should be critical in the management. Most of the platinum in the blood plasma is bound to proteins within a few hours after intravenous administration. Binding of cisplatin to proteins and enzymes is generally believed to be the cause of its side effects, especially ototoxicity and
The oral antiviral medication, commonly acyclovir, is usually started in patients with symptoms within 72 hours of the rash. The use of antiviral medication reduce the duration and severity of pain Shingles are difficult to diagnose when they are in dormant stage, it means when the patient does not have a rash. Diagnose is usually made after clinical examination, rather than through virological testing (Shostak, & Conceicao, 2015), and can be seen in the symptoms of burning, tingling, numbness or pruritus, 1-4 days before the appearance of the mam