What was the rote of administration for Levaquin in the treatment of the UTI?
What was the rote of administration for Levaquin in the treatment of the UTI?
Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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Question
What was the rote of administration for Levaquin in the treatment of the UTI?
![### Postoperative Patient Care and Discharge Summary
The following document outlines the postoperative care and discharge summary of a patient following a medical procedure.
#### Postoperative Course:
The patient tolerated the procedure well. On postoperative day (POD) #2, the patient developed nausea and vomiting, which was likely due to a postoperative paralytic ileus. The treatment included conservative management with a nasogastric tube to reduce concurrent suction. A transrectal ultrasound of the prostate, paired with a biopsy, was also performed during hospitalization. The operative report indicated that the seminal vesicles were not dilated, and the prostatic capsule was intact.
Biopsy results confirmed the presence of adenocarcinoma of the prostate. The patient has been scheduled for Transurethral Resection of the Prostate (TURP) on another admission. During hospitalization, treatment for urinary tract infection (UTI) was administered with IV Levaquin. The patient’s ileus resolved, and the patient was discharged on POD #5 with instructions for outpatient follow-up. The patient’s prognosis is favorable.
#### Discharge Diagnoses:
- Cholelithiasis/Cholecystitis
- Paralytic Ileus
- Adenocarcinoma of the Prostate (Gleason’s Grade 3)
- Chronic Kidney Disease
- Osteoarthritis
- Gastroesophageal Reflux Disease (GERD)
- Peptic Ulcer Disease (PUD)
- Contact Dermatitis
- Status Post Total Knee Replacement (TKR)
- Urinary Tract Infection (UTI)
#### Discharge Medications:
- Zofran
- Zantac
- Levaquin
- Tylenol #3
- Dulcolax
- Flomax
This summary provides an overview of the patient’s postoperative care, diagnoses upon discharge, and prescribed medications. Proper follow-up care has been scheduled to ensure the patient's continued recovery and management of diagnosed conditions.](/v2/_next/image?url=https%3A%2F%2Fcontent.bartleby.com%2Fqna-images%2Fquestion%2F9dba5335-024d-4f39-b8b6-240c679ab921%2Ff9fe29b8-fbb6-4be2-9061-a1742cfc8bb2%2Fbgbcmv_processed.jpeg&w=3840&q=75)
Transcribed Image Text:### Postoperative Patient Care and Discharge Summary
The following document outlines the postoperative care and discharge summary of a patient following a medical procedure.
#### Postoperative Course:
The patient tolerated the procedure well. On postoperative day (POD) #2, the patient developed nausea and vomiting, which was likely due to a postoperative paralytic ileus. The treatment included conservative management with a nasogastric tube to reduce concurrent suction. A transrectal ultrasound of the prostate, paired with a biopsy, was also performed during hospitalization. The operative report indicated that the seminal vesicles were not dilated, and the prostatic capsule was intact.
Biopsy results confirmed the presence of adenocarcinoma of the prostate. The patient has been scheduled for Transurethral Resection of the Prostate (TURP) on another admission. During hospitalization, treatment for urinary tract infection (UTI) was administered with IV Levaquin. The patient’s ileus resolved, and the patient was discharged on POD #5 with instructions for outpatient follow-up. The patient’s prognosis is favorable.
#### Discharge Diagnoses:
- Cholelithiasis/Cholecystitis
- Paralytic Ileus
- Adenocarcinoma of the Prostate (Gleason’s Grade 3)
- Chronic Kidney Disease
- Osteoarthritis
- Gastroesophageal Reflux Disease (GERD)
- Peptic Ulcer Disease (PUD)
- Contact Dermatitis
- Status Post Total Knee Replacement (TKR)
- Urinary Tract Infection (UTI)
#### Discharge Medications:
- Zofran
- Zantac
- Levaquin
- Tylenol #3
- Dulcolax
- Flomax
This summary provides an overview of the patient’s postoperative care, diagnoses upon discharge, and prescribed medications. Proper follow-up care has been scheduled to ensure the patient's continued recovery and management of diagnosed conditions.
![**Case Study Details**
**Admitted:** 11/1/19
**Discharged:** 11/12/19
### Chief Complaint
A 66-year-old male presented with nausea, vomiting, and anorexia that persisted for three days. The patient also reported experiencing right upper quadrant (RUQ) pain and pyrosis after heavy meals. This is the patient's second hospital admission. His medical history includes chronic kidney disease, hypertension, osteoarthritis, asthma, gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD) (with prior hemorrhage), and bilateral total knee replacement. Prior to admission, the patient experienced heavy drinking episodes and tremors. He has dyspnea after climbing one flight of stairs and denies recent colds, upper respiratory infections, hematemesis, or diarrhea. Complaints also included some urinary frequency and urgency, and a rash on the forearms which was being treated with Benadryl cream.
### Physical Examination
The patient appeared to be in moderate distress. Examination findings were:
- Pupils and eye movements within normal limits.
- Chest was clear.
- Heart rate was normal.
- Blood pressure: 200/120 mmHg.
- Temperature: 100.6°F.
- Pulse: 72 bpm.
- Respirations: 16 breaths per minute.
- Abdominal examination revealed some distension with pain in the RUQ.
- Rectal examination indicated an enlarged prostate with a size two to three times above normal limits. Occult blood was negative.
- Remainder of the exam was within normal limits.
### Laboratory Studies
Admission blood tests showed:
- Elevated white blood cell count.
- Elevated serum bilirubin.
- Urinalysis: showed albuminuria, presence of bacteria, TNTC (too numerous to count) white cells and pus.
- Sonography and HIDA scan confirmed cholelithiasis.
- Prostate-Specific Antigen (PSA): 19.8 ng/mL.
### Impression
- **Cholelithiasis/Cholecystitis:** Condition identified as the primary cause for the symptoms.
- **Enlarged prostate:** Due to elevated PSA, a history of GERD, and possible BPH should be ruled out.
### Hospital Course
The patient was diagnosed with cholelithiasis/cholecystitis and underwent laparoscopic cholecystectomy under general endotracheal anesthesia. Pathology findings confirmed chronic cholec](/v2/_next/image?url=https%3A%2F%2Fcontent.bartleby.com%2Fqna-images%2Fquestion%2F9dba5335-024d-4f39-b8b6-240c679ab921%2Ff9fe29b8-fbb6-4be2-9061-a1742cfc8bb2%2F8u75l5d_processed.jpeg&w=3840&q=75)
Transcribed Image Text:**Case Study Details**
**Admitted:** 11/1/19
**Discharged:** 11/12/19
### Chief Complaint
A 66-year-old male presented with nausea, vomiting, and anorexia that persisted for three days. The patient also reported experiencing right upper quadrant (RUQ) pain and pyrosis after heavy meals. This is the patient's second hospital admission. His medical history includes chronic kidney disease, hypertension, osteoarthritis, asthma, gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD) (with prior hemorrhage), and bilateral total knee replacement. Prior to admission, the patient experienced heavy drinking episodes and tremors. He has dyspnea after climbing one flight of stairs and denies recent colds, upper respiratory infections, hematemesis, or diarrhea. Complaints also included some urinary frequency and urgency, and a rash on the forearms which was being treated with Benadryl cream.
### Physical Examination
The patient appeared to be in moderate distress. Examination findings were:
- Pupils and eye movements within normal limits.
- Chest was clear.
- Heart rate was normal.
- Blood pressure: 200/120 mmHg.
- Temperature: 100.6°F.
- Pulse: 72 bpm.
- Respirations: 16 breaths per minute.
- Abdominal examination revealed some distension with pain in the RUQ.
- Rectal examination indicated an enlarged prostate with a size two to three times above normal limits. Occult blood was negative.
- Remainder of the exam was within normal limits.
### Laboratory Studies
Admission blood tests showed:
- Elevated white blood cell count.
- Elevated serum bilirubin.
- Urinalysis: showed albuminuria, presence of bacteria, TNTC (too numerous to count) white cells and pus.
- Sonography and HIDA scan confirmed cholelithiasis.
- Prostate-Specific Antigen (PSA): 19.8 ng/mL.
### Impression
- **Cholelithiasis/Cholecystitis:** Condition identified as the primary cause for the symptoms.
- **Enlarged prostate:** Due to elevated PSA, a history of GERD, and possible BPH should be ruled out.
### Hospital Course
The patient was diagnosed with cholelithiasis/cholecystitis and underwent laparoscopic cholecystectomy under general endotracheal anesthesia. Pathology findings confirmed chronic cholec
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