NR 509 Week 5 iHuman Case Tim Davis - Complete

  • NR 509 Week 5 iHuman Case Tim Davis - Complete
  • $20.00


Institution Chamberlain
Contributor Shanna Soto

TD is a 42 yo male with borderline HLD and childhood chickenpox who presents with with complaints of diarrhea, blood in stools lightheadedness, "cottonmouth," fever, poor appetite, diaphoresis, malaise, and crampy abdominal pain for the past three days after arriving home from a business trip in Chicago. Physical exam demonstrated poor skin turgor, tachycardia, orthostatic hypotension, dry mucous membranes. Negative for chest pain, sob, tympany or dullness.

 

 

 

Diagnostic/Laboratory results:

CBC-WBC 13.5, Band cells 10% BMP- BUN:Cr ratio= 20.1), Stool culture (+) for salmonella enteritidis C-diff (-) Stool gram stain: gram negative bacteria Fecal leukocytes >10,000 WBC/mcl Colon bx: cancelled

 

Meds/Treatment:

Inpatient treatment: Instill isotonic IV fluids for acute lack of fluids or inability to tolerate fluids orally (Parker, & Unaka, 2018). IV Bolus 2liters at 125ml/hr with a clear liquid diet

 

Outpatient Treatment:

Ciprofloxacin 500 mg bid x 5 days (Prescribers Digital Reference, 2022) Acetaminophen 650 mg q6hrs for fever (Prescribers Digital Reference, 2022)......... Continue

 

 

Instituition / Term
Term
Institution Chamberlain
Contributor Shanna Soto
 

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