CV a 35-year-old mountain camper and enthusiast of outdoor activities comes at the emergency room of a government hospital. He states that he is experiencing fever and chills for 2 days now. Further investigation reveals that the patient recently was camping in the tropical mountains. Culture reports reveal malaria. The attending physician orders chloroquine and primaquine. 1. What additional questions might the nurse ask to assist in helping CV understand his condition? Explain why these questions would be important? 2. How would the nurse instruct CV to take chloroquine and premaquine Phosphate? 3. What particular areas need to be spoken to related to this drug therapy?

CV a 35-year-old mountain camper and enthusiast of outdoor activities comes at the emergency room of a government hospital. He states that he is experiencing fever and chills for 2 days now. Further investigation reveals that the patient recently was camping in the tropical mountains. Culture reports reveal malaria. The attending physician orders chloroquine and primaquine. 1. What additional questions might the nurse ask to assist in helping CV understand his condition? Explain why these questions would be important? 2. How would the nurse instruct CV to take chloroquine and premaquine Phosphate? 3. What particular areas need to be spoken to related to this drug therapy?

Health Safety And Nutrition F/Young Child

9th Edition

ISBN:9781305144767

Author:MAROTZ

Publisher:MAROTZ

Chapter6: Childhood Illnesses

Section: Chapter Questions

Problem A2CR

See similar textbooks

Similar questions

CV a 35-year-old mountain camper and enthusiast of outdoor activities comes at the emergency room of a government hospital. He states that he is experiencing fever and chills for 2 days now. Further investigation reveals that the patient recently was camping in the tropical mountains. Culture reports reveal malaria. The attending physician orders chloroquine and primaquine. What additional questions might the nurse ask to assist in helping CV understand his condition? Explain why these questions would be important?
A 48-year-old businessman, presents at the emergency room with a 12-day history of headache, myalgia, nausea, and vomiting. Patient history reveals that the patient is a consulting engineer for the tropical area. On his latest trip, he failed to take his prophylaxis for malaria. According to his general physician’s records, all his immunizations are up to date. His fever was 39°C at the time of initial examination, but alternated with periods of extreme cold and cyanosis. A complete blood count was ordered, along with parasite examination and urinalysis. What parasite do you suspect? Which morphological factor will be important in deciding the species of this organism? Which morphological form you may observe in the peripheral blood of this patient? How did the patient contract this parasitic infection? Why this species can cause much more serious result than other species among this organism? Please list name of three parasites that lead to anemia as the main symptoms, and their…
A 44-year-old Nigerian man was admitted as an emergency while visiting relatives in England. His symptoms include abdominal pain, sweating, rigors and vomiting. Had been treated twice for malaria but had never taken malarial prophylaxis. Examination revealed he is ill and jaundiced, temperature of 39.2°C, blood pressure was 90/70, but no signs of visceral perforation. Differential diagnosis include– occult gastrointestinal bleeding, septicaemia, hepatitis or recurrence of malaria Emergency investigations: normal haemoglobin (140g/l), white cell count of 6.1 x 109/l, sickle-cell anaemia (excluded), thick blood film Treatment: intravenous quinine. Unfortunately the Px rapidly deteriorated over the next 30h leading to cardiac arrest. Post-mortem diagnosis: Cerebral Malaria QUESTION: 1.What is your final diagnosis here? Explain the cause of his disease. 2. What drug, dosage form, schedule, and duration of therapy are best for treating patients with this condition?
Female patient whose is a 13-year-old, was admitted to the hospital with complaints of progressive weakness and shortness of breath with minimal physical effort. She has experienced recurrent fevers reaching 38.8°C. Physical examination reveals a well developed teenage with good nutritional status and in no acute distress. There is no lymphadenopathy or organomegaly. Many petechial hemorrhages cover her chest and legs. Several bruises are found on her legs and thighs. Laboratory tests were ordered upon admission. The laboratory tests result were as the following: RBC 2.24 X1012 /l Hb 71 g/l PCV 24% Plt 8.0 X109/l WBC 1.2 X109/l Differential Segmented Neutrophils 2% Lymphocytes 94% Monocytes 4% Reticulocyte count 0.7% She was referred to a hematologist who ordered a bone marrow examination. Bone marrow biopsy showed a markedly hypocellular marrow with very few hematopoietic cells and…
Female patient whose is a 13-year-old, was admitted to the hospital with complaints of progressive weakness and shortness of breath with minimal physical effort. She has experienced recurrent fevers reaching 38.8°C. Physical examination reveals a well developed teenage with good nutritional status and in no acute distress. There is no lymphadenopathy or organomegaly. Many petechial hemorrhages cover her chest and legs. Several bruises are found on her legs and thighs. Laboratory tests were ordered upon admission. The laboratory tests result were as the following: RBC 2.24 X1012 /1 Hb 71 g/l 24% 8.0 X10/1 PCV Plt WBC 1.2 X109/1 Differential Segmented Neutrophils Lymphocytes Monocytes Reticulocyte count 2% 94% 4% 0.7% She was referred to a hematologist who ordered a bone marrow examination. Bone marrow biopsy showed a markedly hypocellular marrow with very few hematopoietic cells and there were no malignant cells present. 1- Connect these clinical symptoms with her laboratory-screening…
Maria Corazon is a 25-year-old graphic artist who came in the outpatient department for evaluation of fever. The fever started 10 days ago. She states that the fever comes and goes it lasts for 30 - 60 minutes; she takes paracetamol, and it gets better, but then it comes back after 4 hours. She has checked her temperature; the highest was 38.6ºC and the lowest was 37.9ºC. She denies any sick contacts. She has lost her appetite and has been trying to drink more fluids to avoid dehydration. She has lost almost 5 kilograms. She has a throbbing headache that seems to remain after the fever goes down and some neck soreness. She denies changes in her vision or her hearing, but her ears hurt. She has a sore throat and increased drainage out of her nose as well as nasal congestion. She has pain in her face and in her teeth. She has a cough but denies any sputum production. She has no chest pain but sometimes experienced palpitations. She has no abdominal pain, diarrhea, dysuria, pelvic pain,…
A 17 years old boy who recently emigrated from India presents to emergency department with complaints of spiking fever, weight loos and lethargy. On examination he is cachectic with grey skin tone and he is found to have pronounced splenomegaly and mild hepatomegaly. Laboratory test reveal pancytopenia, especially show anemia. Microscopic examination of a bone marrow aspirate from this patient revealed parasites in the macrophages. 1. Which will be the important factor for pathogen differential diagnosis? Age Location of lesion Patient’s hobby Bone marrow examination Hepatosplenomegaly 2. Which methods could be used in diagnosis? Thick blood smear Stool sample Bone marrow smear Sputum sample Blood for serology
A sick child of 5 years old was taken to the children's infectious diseases department. The general condition is serious. Fever, loss of consciousness, rapid pulse. Examination revealed "meningeal syndrome". Given the clinical picture, the patient underwent a spinal tap. At a puncture the turbid cerebrospinal fluid flowed in a stream.1. What research methods should be used to clarify the diagnosis?2. Specify the stages of making a smear for bacterioscopic diagnosis.3. Describe the microscopic picture of a smear made of cerebrospinal fluid. Evaluate the reliability of bacterioscopic diagnosis of this disease.4. Name the rapid diagnostic reactions that can be used in this case.5. What nutrient media should be taken for sowing the test material?
A 50-year-old patient was hospitalized in the infectious department of the district hospital on the 4th day of illness with suspected typhoid-paratyphoid disease. The disease began with a gradual rise in temperature, which reached a maximum level of 39 degrees C on the 3rd day. Complaints of headache, loss of appetite, general weakness, constipation, bloating and flatulence. From the anamnesis: a family member of the patient 2 months ago fell ill with typhoid fever. Objectively: remitting fever, pale skin, moderately bloated abdomen, slight enlargement of the liver and spleen, mental retardation. There is no rash. 1-What serological tests should be used to establish the etiology of typhoid? 2-What are the features of serological diagnosis in the early stages of the disease? What measures should be taken to avoid false-negative serological results in the early stages? 3-What serological reactions are used for serological diagnosis of typhoid fever and paratyphoid fever? Compare and…
A 17 years old boy who recently emigrated from India presents to emergency department with complaints of spiking fever, weight loos and lethargy. On examination he is cachectic with grey skin tone and he is found to have pronounced splenomegaly and mild hepatomegaly. Laboratory test reveal pancytopenia, especially show anemia. Microscopic examination of a bone marrow aspirate from this patient revealed parasites in the macrophages. 1. Which of the following pathogens is most likely to have caused his illness? Spirometra mansoni Echinococcs granulosus Paragonimus westermani Leishmania donovani Entamoeba histolytic 2. Which will be the important factor for pathogen differential diagnosis? Age Location of lesion Patient’s hobby Bone marrow examination Hepatosplenomegaly 3. Which methods could be used in diagnosis? Thick blood smear Stool sample Bone marrow smear Sputum sample Blood for serology 4. Which of the following factor is most likely to be involved? The pathogen migrates…
A 17 years old boy who recently emigrated from India presents to emergency department with complaints of spiking fever, weight loos and lethargy. On examination he is cachectic with grey skin tone and he is found to have pronounced splenomegaly and mild hepatomegaly. Laboratory test reveal pancytopenia, especially show anemia. Microscopic examination of a bone marrow aspirate from this patient revealed parasites in the macrophages. 1. Which of the following factor is most likely to be involved? The pathogen migrates into bloodstream and residence in the organ The pathogen could find in liver and spleen lesion Parasites adherence to the host cell’s membrane The parasites penetrate the macrophages and proliferation The pathogen adherence to the capillary 2. Which of the following factor is most likely to be involved? The pathogen migrates into bloodstream and residence in the organ The pathogen could find in liver and spleen lesion Parasites adherence to the host cell’s membrane The…
A 29-year-old previously healthy female presented with a productive cough, fever to 102 oF, and severe headache. She had cervical adenopathy (swollen glands), although she had a nonerythematous throat with no exudate. Chest examination showed crackles bilaterally at the lung base with decreased breath sounds diffusely. This finding was confirmed by chest film that showed bilateral multifocal areas of patchy consolidation. Her neck was not stiff, but because of the severity of the headache, she was admitted to the neurologic service. A spinal fluid was obtained and was negative for bacteria, cryptococcus, and acid-fast smear. Blood cultures and sputum cultures did not produce a pathogen. The patient did not improve on ceftriaxone. On day 3 she was started on erythromycin. On day 4, cold agglutinins were done and were positive. The patient gradually improved although the headache, photophobia, and cough continued for some time QUESTIONS: 1. What is the agent of this disease?…