Case Study For Patient With Community-Acquired Pneumonia Discussion
Case Study For Patient With Community-Acquired Pneumonia Discussion
Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples. See case study attached Case Study For Patient With Community-Acquired Pneumonia Discussion
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Case Study
The patient is a 68-year-old male with community-acquired pneumonia for the past three days. He has a history of COPD, HTN, Hyperlipidemia, and diabetes. He has been on empiric ceftriaxone 1g IV qday and azithromycin 500mg IV qday both for three days. He is currently showing improvement from his status at admission with decreased oxygen requirements but has poor appetite, nausea, and vomiting. He is 5’8” tall and weighs 89kg. His vital signs have improved from admission but some still not within normal ranges; temp 100.9, BP 136/70, HCO3 30, glucose 143 and has increased WBCs. His chest X-ray shows right lower lobe infiltration and heavy growth of streptococcus pneumonia.
Patient’s Health Needs
Since the patient has a history of COPD, HTN, dyslipidemia, and diabetes, he needs proper education on disease control, prevention, and management. He should be educated on the strategies for the management of COPD to prevent exacerbations such as quitting smoking, avoiding triggers such as grass and dust, getting his annual flu shots, and using his medications as prescribed (Halpin et al., 2021). He should also be educated on proper ways to control his blood pressure like adopting a healthy diet including low salt and fat with lots of fiber, fruits, and vegetables. He should also do exercises to help reduce his weight. To control his diabetes and prevent infections, which may lead to DKA, the patient needs to be advised to control his blood sugar levels by taking his medications as prescribed and adopting a healthy diet as well (Raimalwalla, 2016)Case Study For Patient With Community-Acquired Pneumonia Discussion.
Treatment Regimen for the Patient
To manage the CAP, the patient will need streptococcus susceptible antibiotics. Since the patient is immunocompromised and is allergic to penicillin, the best antibiotic is levofloxacin. This is the first line of therapy for community-acquired pneumonia in the ward (Welte, 2021). The patient will also need short-acting bronchodilators for COPD exacerbation like salbutamol nebulization. He also needs oxygen administration. To manage his diabetes, he requires fluids, electrolytes, and insulin therapy, which will reverse his DKA (Raimalwalla, 2016)Case Study For Patient With Community-Acquired Pneumonia Discussion. The patient is also hypertensive and will need antihypertensive medications to lower his blood pressure. I will give HCTZ and Enalapril. Hydrochlorothiazide is a thiazide diuretic with a fast onset of action and will lower blood pressure through the excretion of excess water (Wijdicks & Clark, 2018). Enalapril is an angiotensin-converting enzyme inhibitor that causes the relaxation of blood vessels and a reduction in blood pressure.
Patient Education Strategy
The patient has many medical needs, and he seems to be having a hard time managing himself. With this consideration in mind, the patient requires something that will remind him specifically when, how, and what medication to take while at home so that he can achieve maximum health (Paterick et al., 2017)Case Study For Patient With Community-Acquired Pneumonia Discussion.
We can adopt a teaching strategy that has the recommendations written down for him so that he does not have to remember everything off head, which is easy to forget. I would recommend written educational materials as my education strategy so that the patient may have his instructions printed out for reference.
The use of educational materials like brochures and pamphlets and digital materials may be used depending on patient literacy (Gibson et al., 2022)Case Study For Patient With Community-Acquired Pneumonia Discussion. Pamphlets and brochures will include the preventive measures, healthy diets to undertake, and the patient’s medications with the time, dosage, and how to take them. This will enable the patient to take better care of his health and prevent disease exacerbations.
References
Gibson, C., Smith, D., & Morrison, A. K. (2022). Improving health literacy knowledge, behaviors, and confidence with interactive training. HLRP: Health Literacy Research and Practice, 6(2). https://doi.org/10.3928/24748307-20220420-01
Halpin, D. M., Criner, G. J., Papi, A., Singh, D., Anzueto, A., Martinez, F. J., Agusti, A. A., & Vogelmeier, C. F. (2021). Global initiative for the diagnosis, management, and prevention of chronic obstructive lung disease. The 2020 GOLD science committee report on COVID-19 and chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine, 203(1), 24-36. https://doi.org/10.1164/rccm.202009-3533so
Paterick, T. E., Patel, N., Tajik, A. J., & Chandrasekaran, K. (2017). Improving health outcomes through patient education and partnerships with patients. Baylor University Medical Center Proceedings, 30(1), 112-113. https://doi.org/10.1080/08998280.2017.11929552
Raimalwalla, T. (2016). G446 Study on current clinical practice of severe DKA management (guided by BSPED 2009 DKA guidelines) to help derive suggestions for future education, guideline updates, and research in DKA. Archives of Disease in Childhood, 101(Suppl 1), A263.2-A264. https://doi.org/10.1136/archdischild-2016-310863.434 Case Study For Patient With Community-Acquired Pneumonia Discussion
Welte, T. (2021). Role of Fluoroquinolones in the treatment of community-acquired pneumonia. Community-Acquired Pneumonia, 193-212. https://doi.org/10.1002/9780470772775.ch10
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Wijdicks, E. F., & Clark, S. L. (2018). Antihypertensives and antiarrhythmics. Oxford Medicine Online. https://doi.org/10.1093/med/9780190684747.003.0013
Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific.
Explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response.
Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples Case Study For Patient With Community-Acquired Pneumonia Discussion