Community-Acquired Pneumonia

The Patient’s Health Needs

The patient is a 68-year-old male admitted for community-acquired pneumonia, with infiltrates in the right lower lobe. Clinical presentation includes high fever (102.7 F), hemoptysis, gastrointestinal symptoms, and fatigue. He displayed some significant improvement on the third day, including decreased oxygen requirements, a normal heart rate, and a decreasing HCO3 range after receiving empiric antibiotics such as a daily dose of one-gram IV of ceftriaxone and 500 mg azithromycin IV. However, the patient is not tolerating a diet, coupled with complaints of nausea and vomiting. Moreover, the patient is allergic to penicillin and resistant to erythromycin and tetracycline, evidenced by a minimum inhibitory concentration (MCI) of >16. The goal of the treatment is to inhibit the growth of streptococcus pneumonia, stabilize the patient’s arterial blood gases, ensure the optimal general health, and eliminate feelings of nausea and vomiting.

Don't use plagiarized sources. Get Your Custom Essay on
Community-Acquired Pneumonia
From as low as $9/Page
Order Essay

Treatment Regimen.

The treatment of community-acquired pneumonia (CAP) should be based on the patient’s characteristics. For instance, the patient is an older adult male with COPD and an allergic reaction to penicillin. The preferred antibiotics for the treatment of CAP are doxycycline, macrolides, or fluoroquinolones (Bidell, Pai, & Lodise, 2020). However, the MCI of > 16 for erythromycin and tetracycline indicates resistance to some macrolides. Azithromycin 500 mg IV is the first-line treatment, as recommended by the CDC, and its success on the patient in improving the symptoms (Mandell et al., 2017). Though, considering the patient’s COPD and use of antimicrobials, I would recommend the following, in line with CDC recommendations:

levofloxacin (750 mg/day) and monitor for adverse effects or amoxicillin-clavulanate 875 mg [twice daily).
Using bronchodilators for COPD together with azithromycin could increase the risk of tachycardia, considering that this patient had a fast heart rate on admission (Noor et al., 2019). Bronchodilators include Albuterol and Salmeterol (Rosenthal & Burchum, 2021). Also, Level I evidence suggests that the treatment should be maintained for five days. Discontinue penicillin due to its rash effect on the patient. Furthermore, Azithromycin may exacerbate nausea and vomiting in patients with gastrointestinal issues.

Patient Education.

The caregiver should recommend a pneumococcal polysaccharide vaccine for the at-risk patient. Secondly, advise the patient to maintain the medication for at least five days and report any adverse effects associated with levofloxacin (nausea and vomiting) or amoxicillin-clavulanate (mild diarrhea, rash, and vomiting). Levofloxacin tablets can be taken with or without food, but avoid dairy products two hours prior as it hinders the effectiveness of the drug (Noor et al., 2019).

References.

Bidell, M. R., Pai, M. A. P., & Lodise, T. P. (2020). Use of Oral Tetracyclines in the treatment of adult patients with community-acquired bacterial pneumonia: a literature review on the often-overlooked antibiotic class. Antibiotics, 9(12). 905-927. Retrieved from https://www.mdpi.com/2079-6382/9/12/905/pdf

Mandell, L. A., Wunderink, R. G., Anzueto, A., Bartlett, J. G., Campbell, G. D., Dean, N. C., … & Whitney, C. G. (2017). Infectious Diseases Society of America/American Thoracic Society consensus guidelines on the management of community-acquired pneumonia in adults. Clinical infectious diseases, 44(Supplement_2), S27-S72.

Noor, S., Ismail, M., & Ali, Z. (2019). Potential drug-drug interactions among pneumonia patients: do these matter in clinical perspectives?. BMC Pharmacology & Toxicology, 20(1). Retrieved from https://doi.org/10.1186/s40360-019-0325-7

Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier. For more information on Community-Acquired Pneumonia check on this: https://en.wikipedia.org/wiki/Community-acquired_pneumonia

Impact of International Actors

The Homework Writings
Order NOW For A 10% Discount!
Pages (550 words)
Approximate price: -

Our Advantages

Plagiarism Free Papers

Thehomeworkwritings.com’s team of writers write all papers from scratch. We deliver 100% original, unique papers. That’s what makes us the best custom homework writing service

Free Revisions

We provide unlimited free revisions to all customers and on all papers. Try The Homework Writings today for the best custom homework writing service and experience in the industry.

Title-page

Thehomeworkwritings.com gives clients title pages free of charge. Your only job is to fill out our order form. We will handle the rest.

Bibliography

As the leading essay writing service, we never submit any paper without a reference/bibliography page. We do this free of charge too.

Originality & Security

At Thehomeworkwritings.com, we take great pride in delivering only high-quality 100% original papers to all our clients. We also never share any of our clients’ information with third parties. Your data is safe with us.

24/7 Customer Support

No other custom homework writing service has a friendly, always available customer support team to respond to clients like us.

Try it now!

Calculate the price of your order

We'll send you the first draft for approval by at
Total price:
$0.00

How it works?

Follow these simple steps to get your paper done

Place your order

Fill in the order form and provide all details of your assignment.

Proceed with the payment

Choose the payment system that suits you most.

Receive the final file

Once your paper is ready, we will email it to you.

Why outsource our services

We have the best customer support team for your essay writing needs.

Pricing

Flexible Pricing

You won’t find any other custom homework writing service with pricing as flexible and affordable as ours.

Communication

Admission help & Client-Writer Contact

We provide a direct line of communication with our writers for the best writing experience.

Deadlines

Paper Submission

As the leading custom homework writing service, we take deadlines very seriously. You will have your paper submitted on time without any delays.

Reviews

Customer Feedback

We truly value your feedback, good or bad, and always use your feedback to help us provide you with an even better custom homework writing service