the principles of PHARMACOKINETICS(absorption, distribution, metabolism and excretion), what are the key considerations when treating this patient and why are they so important

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
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72 yr old, male with history oif diabetes, PAD, HTN and CKD. Recently admitted for C-diff diarrhea and was started on vancomycin and discharged home. He now present to ER (7 days later) with left lower leg sweeling nd erythema and as such was diagnosed with cellulitis. He is not septic or ill-appearing so as an APN/APRN( Advance Practitioner Registered Nurse), you decide to discharge him with oral antibiotics.

In regards to the principles of PHARMACOKINETICS(absorption, distribution, metabolism and excretion), what are the key considerations when treating this patient and why are they so important?

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Cellulitis

Cellulitis is a common bacterial infection of dermis and subcutaneous tissue, characterized by swollen, red and painfull skin. Skin may be hot, tender along with fever, chills and malaise. It is commonly treated with antibiotics and penicillin. 

Etiology:

  • Group A, B - hemolytic streptococcus
  • Streptococcus pneumoniae
  • Staphylococcus aureus

Risk factors

  • Weakened immune system
  • Bedsore
  • Lymphoedema
  • Drugs, surgery, or history of cellulitis
  • Poor circulation

 

 

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