13 May Carmelita Bautista, a 19-year-old transgender client (DOB: 5/1/2005) who identifies as female (pronouns she/her), presents to the Emergency Department with a productive cough (with green mucus), fever, chills, a loss of appetite, and fatigue for two days
CASE STUDY:
Carmelita Bautista, a 19-year-old transgender client (DOB: 5/1/2005) who identifies as female (pronouns she/her), presents to the Emergency Department with a productive cough (with green mucus), fever, chills, a loss of appetite, and fatigue for two days. The NP performs a physical assessment that reveals crackles in the left lower lobe with lung sounds diminished on the right with no retractions or increased work of breathing. A rapid test indicates that she is negative for influenza, COVID-19, and RSV and a chest X-ray demonstrates consolidation in the left lower lobe. The NP diagnoses the client with bacterial pneumonia and considers appropriate antibiotic therapy knowing that pneumococcal resistance to macrolides is less than 25% in the geographic area.
Past Medical History: None
Allergies: Amoxicillin
Medications: Multivitamin
Social History: She has never smoked cigarettes and does not drink alcohol.
Physical Exam:
• Height: 5 feet 2 inches
• Weight: 110 pounds
• Body Mass Index (BMI): 20.1
• Blood Pressure (BP): 105/67
• Heart Rate (HR): 91
• Respiratory Rate (RR): 21
• Oxygen Saturation (O2 Sat): 96% on RA
• Temperature (TEMP): 101.5 oral
An appropriate prescription for Carmelita is:
Name: Carmelita Bautista
Date Of Birth: 5/1/2005
Date Prescribed: Current Date
Rx: doxycycline (Vibramycin) 100mg
Disp: 10
Sig: Take one tablet by mouth twice daily for five days
Refills (O-4): 0
Dispense as Written:
Generic Substitution Permitted:
• Either Dispense as Written or Generic Substitution Permitted should be checked on every written prescription depending on what is best for each client. Refer to the week 1 lesson for criteria.
Rationale: Amoxicillin is the preferred first-line treatment for outpatient clients with CAP who have no comorbidities. However, this client is allergic to amoxicillin. Doxycycline is also appropriate for treating clients with CAP who have no comorbidities and are receiving outpatient therapy, according to the CPG (Metlay et al., 2019). The client should receive 100mg of doxycycline twice daily (Metlay et al., 2019) for five to seven days (Ramirez, 2023). For this client, treatment is prescribed for five days at this time, pending the client’s reaction to treatment (Ramirez, 2023).
Step 1: Assess the client’s case, the applicable clinical practice guideline (CPG), and the prescription information provided.
Step 2: Answer the discussion prompts below with explanation and detail, providing complete references for all citations. Refer to the lesson for client information.
Include the following sections:
1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
a. Describe your assigned client’s situation. Why are they presenting to the clinic? What medications are they currently taking?
b. Assess the applicable clinical practice guideline (CPG) for your assigned client linked on the same page in the lesson where the client case is located. What treatment is recommended by the CPG for your client’s situation?
c. Discuss your personal professional assessment of the client’s situation provided in the scenario. What pharmacological treatment is necessary and why?
d. Reflect on additional questions you have about your assigned client that may influence treatment. What else do you need to know? What follow-up assessments, labs, or conversations are required to ensure optimal health outcomes?
Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Ask A Question and we will direct you to our Order Page at WriteDemy. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Fill in all the assignment paper details that are required in the order form with the standard information being the page count, deadline, academic level and type of paper. It is advisable to have this information at hand so that you can quickly fill in the necessary information needed in the form for the essay writer to be immediately assigned to your writing project. Make payment for the custom essay order to enable us to assign a suitable writer to your order. Payments are made through Paypal on a secured billing page. Finally, sit back and relax.
About Wridemy
We are a professional paper writing website. If you have searched a question and bumped into our website just know you are in the right place to get help in your coursework. We offer HIGH QUALITY & PLAGIARISM FREE Papers.
How It Works
To make an Order you only need to click on “Order Now” and we will direct you to our Order Page. Fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Are there Discounts?
All new clients are eligible for 20% off in their first Order. Our payment method is safe and secure.