5. Start triamcinolone 0.1% ointment b.i.d. to t.i.d. p.r.n. resistant itching over his legs, back, and arms avoiding the groin, feet, and face. Please give the patient 60 g tubes and allow him to use it p.r.n. for 2-3 months for itching.
Abstract Drug therapy relies on the principle of selective toxicity, where the effects of the drug are only harmful towards the foreign parasite and not at all to the host. By comparing the effects of different drugs on various parasitic organisms we are able to distinguish the type of disease or infection that is present as well as the mechanism of action that takes place by each drug in question. The drugs may function by interacting with enzymes such as transpeptidase and thymidylate synthetase, for example Penicillin and 5-FU function respectively. The effectiveness can be quantified by measuring the zones of inhibition created by the drug on the plate of the bacteria or fungus. This is the area where there is no growth due to the action of the drug. The discovery that the Micrococcus-luteus is classed as a bacteria was made apparent due to Penicillin’s success in inhibiting it’s growth. The action of the Amphotericin solely on the Pythium, gives reason to believe that it can be grouped with fungal growths.
[pic] The emergency department physician inserts a central venous catheter via the subclavian vein and prescribes Lactated Ringer's solution at 1,000 ml/hr via infusion pump.
The intravenous dosage in this case is 0.5 - 1 mg/kg IV (range: 0.5 - 2 mg/kg).
As this treatment can be used for different purposes, it also comes in different brands and dosages. Therefore, the very most to bear is follow according to the doctor's advice and as prescribed in the label.
b.ii. The dosage will depend on the age, weight, and other health issues of the person.
The patient must be carefully monitored for signs of impending shock. When used as primary therapy for severe bubonic plague, the dosage of tetracycline is 40 to 50 mg/kg per day (in 4 equal doses) after a loading dose of 30 mg/kg. After the first 24 to 48 hours of therapy, the dosage of tetracycline can be reduced to the lower dose. Alternatively, doxycycline can be used in dosage of 2.2 mg/kg twice daily, up to a maximum dose of 100 mg twice daily. Levofloxacin should be given in a dosage of 10 mg/kg/dose IM or PO and Ciprofloxacin in a dosage of 15 mg/kg/dose twice daily IV or 20 mg/kg/dose every 12 hours PO. Chloramphenicol, a less desirable choice, is given at a dosage of 25 mg/kg every 6 hours IV with maximum daily dose of 4 g. Chloramphenicol is preferred only in the treatment of known or suspected plague meningitis or when treatment with tetracycline or aminoglycosides is contraindicated or unavailable. Nonspecific therapy is the same as that employed for patients with other forms of gram-negative sepsis and consists primarily of the treatment of shock, seizures, respiratory problems, and high fevers.
(e,f, g ). Voriconazole has both oral and IV formulations while Posaconazole is available as an oral suspension, delayed-release tablets and, an IV formulation (h). Posaconazole doses is taken as oral suspension is taken 3 times daily or delayed-release tablet is taken once daily and IV infusion once daily (k). Voriconazole is taken as IV every 12 hours (k). A clinical trial had shown that posaconazole prevent the development of IFI more effectively compared to fluconazole or itraconazole as well as improve overall survival, but posaconazole was found to result in more serious side effects (i). One the other hand, there is no clinical trial conducted to know the effect of Voriconazole on AML patients (e). There is clinical trial conducted on patients who had hematopoietic cell transplantation, many of them have AML (j). The study compared between voriconazole versus fluconazole; there was less fungal infection (Aspergillus infections) in voriconazole group compared to fluconazole with no overall improvement in fungal-free survival period (j).
od Tapeworm Infection The tapeworm, also known as cestode, is a parasitic worm. The cestode is an almost see-through creature whose life-cycle consists of three stages: the egg, larva, and adult. An adult cestode grows to reach a total length of almost 100 ft. There are 6 different types of
It is important to meet with your doctor to discuss the precautions associated with this level of dosage.
immitis tested in mice. Posaconazole orally administered at 0.01, 0.1, 0.5, 1, 5 and 10 mg/kg 3 times a day. Mice had >90% survival when they were treated >0.5 mg/kg. Cultures of whole livers and spleens from mice treated with 10 mg/kg showed >70% sterilization .
Common Ear Disorders: Case Study Case 1 1. What organism(s) is most likely causing the patient’s chronic infection? Some of the most common organisms present in chronic suppurative otitis media are, Klebsiella pneumonia, Staphylococcus aureus, and Pseudomonas aeruginosa (Wright & Safranek, 2009). Furthermore, many anaerobes and fungi may grow concurrently with the above mentioned
In neonates, an ampicillin dose of 150 to 200 mg/kg per day for nonmeningeal infections or 300 to 400 mg/kg per day for Listeria meningitis is recommended, albeit certain studies suggest that dosages for meningitis should be used in all cases. Furthermore, the higher dose is appropriate for treating listeriosis in immunocompromised hosts.
My patient has just been diagnosed with Helicobacter Pylori is prescribed the standard recommended treatment including amoxicillin, clarithromycin and metronidazole given concurrently. Before taking amoxicillin tell your doctor if you allergic to any cephalosporin’s. Amoxicillin can also make birth control pills less effective. You also have to take the medicine for the complete length of time. This could cause diarrhea. Clarithromycin is used to treat duodenal ulcers that occur from H Pylori along with other medicines combined. Do not take if you have life threating heart rhythm disorders or if you have lover or kidney disease.
Case 1: • A 2-year-old Caucasian male is brought to the emergency department by his parents after possible ingestion of several pellets of rat poison 60 minutes ago; he is currently without symptoms • Initial vital signs: o Temperature 96.2º F [normal 95-100.4] o Pulse 118 beats per minute [normal 120] o BP 105/60 mm Hg [normal 102/58] o Respirations 16 breaths