NR 603 Week 5 APEA Predictor Assignment - Part Two

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NR 603 Week 5 APEA Predictor Assignment - Part Two Preview of Starting Page….. Diagnosis: Iron Deficiency Anemia (IDA). M.B. presents with classic signs and symptoms consistent with IDA.... As a brief recap, M.B. with a heavier than normal menstrual cycle and less energy than usual accompanied with shortness of breath, palpitations, and fatigue. She presented with cool, pale skin, conjunctiva, and oral mucosa. She was also tachycardic and slightly hypotensive with a newly noted heart murmur. Treatment: The following diagnostic testing will also be ordered: CBC w/diff, CMP, ferritin level, TIBC, RDW, and blood smear (Cascio & DeLoughery, 2017). A pelvic or transvaginal ultrasound will also be ordered to look for causes of the excessive uterine bleeding. I will start M.B. on ferrous sulfate: 75-100 mg of elemental iron PO BID (Jimenez et al., 2015). Preview of Last Page….. Treatment for NOE is long-term antimicrobial therapy. In addition, if the patient is diabetic, including the patient last night, her PCP will need to continue to strictly monitor her blood glucose levels, perform repeat local debridement of any necrotic tissue and advise her to participate in hyperbaric oxygen therapy (Kaya et al., 2018) after she has been discharged from the hospital. Antibiotic therapy can begin with 750mg ciprofloxacin PO BID, or 400 mg IV BID. There are other antibiotic therapies available if this is not effaceable, depending upon the pathogen found (Pseudomonas aeruginosa or staphylococcus epidermidis). Handzel, O., & Halperin, D. (2003). Necrotizing (Malignant) External Otitis. American Family Physician, 68(2), 309–312. https://www.aafp.org/afp/2003/0715/p309.html Kaya, İ., Sezgin, B., Eraslan, S., Öztürk, K., Göde, S., Bilgen, C., & Kirazlı, T. (2018). Malignant Otitis Externa: A Retrospective Analysis and Treatment Outcomes. Turkish Archives of Otorhinolaryngology, 56(2), 106–110. https://doi.org/10.5152/tao.2018.3075 [Show More]

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