Case Study(unfinished)
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PATIENT’S DATA
Name
:
John Lester P. Aguilar
Address:
:
Bucot, Aliaga, Nueva Ecija
Gender
:
Male
Age
:
9 months old
Date of Birth :
September 17, 2008
Place of Birth :
Cabanatuan City
Religion
:
Roman Catholic
Nationality:
:
Filipino
Weight
:
7 kilos
Father’s Name:
Norman Aguilar
Mother’s Name:
Leonora Aguilar
Admission Data:
Chief Complaint
:
History of Present Illness:
DOB (Difficulty of Breathing) Two weeks prior to admission, the patient experienced on and off fever accompanied by fever , No consult done. One day prior to admission patient had + LBM 10x and also vomiting.
Date of Admission
:
June 23, 2009
Time of Admission
:
08:25 pm
Mode of Arrival
:
Cuddled by her mother
Clinical Diagnosis
:
Bronchopneumonia with Dehydration
Temp
:
38.1
PR
:
154 bpm
RR
:
59 cpm
Latest Vital Signs
PATHOPHYSIOLOGY
Etiologic Agent:
Predisposing Factors:
•
Bacteria
* Elderly
•
Virus
* Hospitalization * Immobilization * Immune Deficiency
* Long Term Illness * Smoking
Microorganism enter alveolar Spaces by droplet inhalation
↓ Inflammation occurs
↓ Alveolar fluid increase
↓ Ventilation decreases as secretion thicken
↓ Bronchopneumonia
Empyema
Pleurisy
(collectionof pus & liquid
(Inflammation of membrane) From infected tissue)
Lung Abscess (collection of pus, inflammation & destruction of tissue)
↓ Cancer of the lung
↓ Death
DRUG STUDY
DRUG
USES
SIDE EFFECTS
CONSIDERATION
Generic Name:
Prophylaxis and
Anorexia
• Assess for any
Hydrocortisone
treatment of
N&V
allergic reaction
sodium succinate
chronic bronchial
Lethargy
• Monitor v/s, I&O,
asthma, perennial
Headache
and weight
rhinitis,
Fever
• Avoid alcohol and
Dosage:
symptomatic
Joint pain
70 mg – IVP
sarcoidosis
Desquamation
caffeine
Then 30 mg IVP
Myalgia
after 6 hours
Weight loss Hypotension
Classification: Corticosteroids
DRUG NAME Generic Name: Paracetamol Drops Route: Oral
Dosage: 0.7 mL - Q6h Available forms: Tablet and Syrup Classification: Non-opioid analgesic
USES Analgesics and antipyretic commonly used for relief of fever, head aches and other minor pains and aches.
SIDE EFFECTS Rare side effects: Hives; rash; Shortness of breath. Prolonged & habitual use may lead to liver damage or failure.
CONSIDERATION Check the time and dosage before administering. Assess for possible drug reactions.
DRUG NAME Generic Name: Cefuroxime Brand Name: Plerozef
USES For lower respiratory tract infection due to S. pneumoniae, UTI’s due to e. coli & skin and skin structure due to s. aureus
SIDE EFFECTS Most common: Diarrhea/loose stools, abdominal pain & N/V
CONSIDERATION Asses for possible S&S of drug reaction. Asses for anemia & renal dysfunction.
Route: IV Dosage: 120 mg/q8 Classification: Cephalosporin, Second Generation
DRUG NAME Generic Name: Metronidazole Route: IV
USES
SIDE EFFECTS
CONSIDERATION
-Metronidazole is an antibiotic especially effective against anaerobic infections (infections that grow without the
Side effects are not commonly seen with this medication unless the patient is taking especially high doses or moderate doses for a
Metronidazole is best given with food. Metronidazole can cause birth defects if given to a pregnant patient. It
Dosage: 120 mg/q8 Classification:
DRUG NAME Generic Name: Metoclopramide Route: IV Dosage: 1.5 mg PRN for vomiting Classification:
presence of oxygen.) -it has antiinflammatory properties in the large intestine and is a very effective antidiarrhea medication.
USES Blocks dopamine receptors in chemoreceptor trigger zone of the CNS.
long time period should never be (months). Side administered during effects seen can pregnancy. relate to nausea or appetite loss or side effects can be neurologic (staggering, head tilt to one side)
SIDE EFFECTS Drowsiness, weakness
CONSIDERATION
Name
:
John Lester P. Aguilar
Address:
:
Bucot, Aliaga, Nueva Ecija
Gender
:
Male
Age
:
9 months old
Date of Birth :
September 17, 2008
Place of Birth :
Cabanatuan City
Religion
:
Roman Catholic
Nationality:
:
Filipino
Weight
:
7 kilos
Father’s Name:
Norman Aguilar
Mother’s Name:
Leonora Aguilar
Admission Data:
Chief Complaint
:
History of Present Illness:
DOB (Difficulty of Breathing) Two weeks prior to admission, the patient experienced on and off fever accompanied by fever , No consult done. One day prior to admission patient had + LBM 10x and also vomiting.
Date of Admission
:
June 23, 2009
Time of Admission
:
08:25 pm
Mode of Arrival
:
Cuddled by her mother
Clinical Diagnosis
:
Bronchopneumonia with Dehydration
Temp
:
38.1
PR
:
154 bpm
RR
:
59 cpm
Latest Vital Signs
PATHOPHYSIOLOGY
Etiologic Agent:
Predisposing Factors:
•
Bacteria
* Elderly
•
Virus
* Hospitalization * Immobilization * Immune Deficiency
* Long Term Illness * Smoking
Microorganism enter alveolar Spaces by droplet inhalation
↓ Inflammation occurs
↓ Alveolar fluid increase
↓ Ventilation decreases as secretion thicken
↓ Bronchopneumonia
Empyema
Pleurisy
(collectionof pus & liquid
(Inflammation of membrane) From infected tissue)
Lung Abscess (collection of pus, inflammation & destruction of tissue)
↓ Cancer of the lung
↓ Death
DRUG STUDY
DRUG
USES
SIDE EFFECTS
CONSIDERATION
Generic Name:
Prophylaxis and
Anorexia
• Assess for any
Hydrocortisone
treatment of
N&V
allergic reaction
sodium succinate
chronic bronchial
Lethargy
• Monitor v/s, I&O,
asthma, perennial
Headache
and weight
rhinitis,
Fever
• Avoid alcohol and
Dosage:
symptomatic
Joint pain
70 mg – IVP
sarcoidosis
Desquamation
caffeine
Then 30 mg IVP
Myalgia
after 6 hours
Weight loss Hypotension
Classification: Corticosteroids
DRUG NAME Generic Name: Paracetamol Drops Route: Oral
Dosage: 0.7 mL - Q6h Available forms: Tablet and Syrup Classification: Non-opioid analgesic
USES Analgesics and antipyretic commonly used for relief of fever, head aches and other minor pains and aches.
SIDE EFFECTS Rare side effects: Hives; rash; Shortness of breath. Prolonged & habitual use may lead to liver damage or failure.
CONSIDERATION Check the time and dosage before administering. Assess for possible drug reactions.
DRUG NAME Generic Name: Cefuroxime Brand Name: Plerozef
USES For lower respiratory tract infection due to S. pneumoniae, UTI’s due to e. coli & skin and skin structure due to s. aureus
SIDE EFFECTS Most common: Diarrhea/loose stools, abdominal pain & N/V
CONSIDERATION Asses for possible S&S of drug reaction. Asses for anemia & renal dysfunction.
Route: IV Dosage: 120 mg/q8 Classification: Cephalosporin, Second Generation
DRUG NAME Generic Name: Metronidazole Route: IV
USES
SIDE EFFECTS
CONSIDERATION
-Metronidazole is an antibiotic especially effective against anaerobic infections (infections that grow without the
Side effects are not commonly seen with this medication unless the patient is taking especially high doses or moderate doses for a
Metronidazole is best given with food. Metronidazole can cause birth defects if given to a pregnant patient. It
Dosage: 120 mg/q8 Classification:
DRUG NAME Generic Name: Metoclopramide Route: IV Dosage: 1.5 mg PRN for vomiting Classification:
presence of oxygen.) -it has antiinflammatory properties in the large intestine and is a very effective antidiarrhea medication.
USES Blocks dopamine receptors in chemoreceptor trigger zone of the CNS.
long time period should never be (months). Side administered during effects seen can pregnancy. relate to nausea or appetite loss or side effects can be neurologic (staggering, head tilt to one side)
SIDE EFFECTS Drowsiness, weakness
CONSIDERATION
