Preview

Health Case Study: Lai Loo Yee Patients

Good Essays
Open Document
Open Document
811 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Health Case Study: Lai Loo Yee Patients
Student Name: Lai Loo Yee Patient’s Initial: ASS
Student ID: 00000003327 Patient’s RN: HTJ396999
Date of clerking: 31/4/2017 Date of admission: 31/4/2017

An 8 years old Malay boy was presented to the Emergency Department with pain and bleeding on the right leg for 1 day. It was preceded by a fall while he was climbing a slippery stairs at school where he landed on his right leg. After the fall, he started to experience pain and noticed a bleeding wound on his right leg. He was able to ambulate and there was no loss of consciousness, retrograde amnesia, nausea, vomiting or any sign of other significant injury. Other than that, he does not have any significant illnesses. He is currently living with his family. He was alert and responsive.
…show more content…
Cefuroxime: 2nd generation Cephalosporin.
The cephalosporins are broad-spectrum antibiotics which are used for the treatment of septicaemia, pneumonia, meningitis, biliary-tract infections, peritonitis, and urinary tract infections. The pharmacology of the cephalosporins is similar to that of the penicillins, excretion being principally renal.
The principal side-effect of the cephalosporins is hypersensitivity and about 0.5–6.5% of penicillin-sensitive patients will also be allergic to the cephalosporins. If a cephalosporin is essential in patients with a history of immediate hypersensitivity to penicillin, because a suitable alternative antibacterial is not available, then cefixime, cefotaxime, ceftazidime, ceftriaxone, or cefuroxime can be used with caution. Cefuroxime axetil, an ester of the ‘second generation’ cephalosporin cefuroxime, has the same antibacterial spectrum as the parent compound; it is poorly absorbed and needs to be given with food to maximise absorption.
Cefuroxime is a ‘second generation’ cephalosporin that is less susceptible than the earlier cephalosporins to inactivation by beta-lactamases. It is, therefore, active against certain bacteria which are resistant to the other drugs and has greater activity against Haemophilus

You May Also Find These Documents Helpful

  • Good Essays

    Hae Min Lee Case Study

    • 1117 Words
    • 5 Pages

    The U.S., leads the world in incarceration rate at around 2 million people in jail or prison. Currently, the false conviction rate is around 1 percent. With approximately 2 million in prison that would make 20,000 people locked up for crimes they didn't commit. This is the case for Adnan Syed being falsely imprisoned for the death of his ex girlfriend Hae Min Lee. Miss Lee went missing on January 13, 1999 after reportedly being seen with Adnan. Approximately three weeks later, her body was found in Leakin Park. At that point, Adnan was arrested and convicted due to key witness Jay Wilds who told the police everything they needed to build the case against him. While the prosecution argued that Adnan was jealous and vengeful, he just claimed…

    • 1117 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    I will continually assess for peripheral circulation and monitor for pain associated with his right leg DVT. I would also monitor for swelling, redness, excess warmth, and discoloration in comparison with unaffected limb.…

    • 845 Words
    • 3 Pages
    Powerful Essays
  • Powerful Essays

    Proofreader #1

    • 404 Words
    • 2 Pages

    HISTORY OF PRESENT ILLNESS: The patient is an elderly mail who fell 4 days prior to admission. He noted immediate pain and swelling in the area just below his left elbow. He was presented to the emergency room for treatment.…

    • 404 Words
    • 2 Pages
    Powerful Essays
  • Satisfactory Essays

    I would prescribe Sue sulfa drugs. The bacteria is a Gram negative so penicillin would be difficult to infiltrate the cell wall. The others are within the cells. So Sulfa drugs would be best.…

    • 316 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Aramedic Review

    • 524 Words
    • 3 Pages

    Scenario: You are called to the scene of a 28-year-old male who is complaining of hoarseness, a scratchy sensation in the back of his throat, and palpitations. The symptoms began about 30 minutes ago and have grown steadily worse. The patient took prescribed penicillin one hour ago. Management of this patient should include all of the following EXCEPT:…

    • 524 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Figure 1: The Initial examination of the right leg on admission reveals mixed (venous and arterial) extensive necrotic ulceration with superadded cellulitis.…

    • 549 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Serratia Marcescens

    • 611 Words
    • 3 Pages

    Doctors must know which antibiotic kills each disease-causing bacterium. We, Chelsea and Justin, will find out how Erythromycin, Penicillin, and Ampicillin are affected by the bacteria Serratia marcescens. Our hypothesis is that Penicillin will have the largest ring of inhibition, the ring around the disk where the antibiotic has killed bacteria. We believe Penicillin will be the most common antibiotic that we have heard of.…

    • 611 Words
    • 3 Pages
    Good Essays
  • Better Essays

    This assessment is important so that appropriate empiric antibiotics can be initiated before bacterial culture results return. If appropriate empiric antibiotics are selected, the subsequent adjustment of antibiotics does not improve the patient's mortality risk.…

    • 1200 Words
    • 5 Pages
    Better Essays
  • Better Essays

    Drug Study Assignment

    • 3259 Words
    • 15 Pages

    Past History: Smokes ½ a pack of cigarettes per day (since she was a teenager)…

    • 3259 Words
    • 15 Pages
    Better Essays
  • Good Essays

    These medications are normally prescribed by a GP or a Health Care professional. They are used for the relief of infections which would not clear up without their use, such as severe acne, STD s, kidney/urinary infections, pneumonia. The side effects of these medicines can be nausea, vomiting, diarrhoea, bloating, indigestion, abdominal pain and loss of appetite.…

    • 1191 Words
    • 5 Pages
    Good Essays
  • Satisfactory Essays

    proofreading

    • 372 Words
    • 2 Pages

    HISTORY OF PRESENT ILLNESS: The patient is an elderly female who fell four days prior to admission. He noted immediate pain and swelling in the area just below his left elbow. He presented to the emergency room for treatment.…

    • 372 Words
    • 2 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Cemex Questions

    • 652 Words
    • 3 Pages

    To answer the questions involving how IT has helped Cemex, the following two articles are a good complement to the information in the case. Here are the links:…

    • 652 Words
    • 3 Pages
    Satisfactory Essays
  • Satisfactory Essays

    Transcription

    • 320 Words
    • 2 Pages

    12. Dr. Collier recommended a combination of gentamicin and a penicillin, such as Bicillin, for our patient with endocarditis.…

    • 320 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    Antibiotic Resistance

    • 1975 Words
    • 8 Pages

    For more than 50 years, physicians worldwide have relied on antibiotics for rapid and effective management of many of the most common infections. Antibiotics have changed the way both doctors and the public perceive bacterial infections and their treatment. Doctors have been confronted with antibiotic resistance for as long as they have been using antibiotics (Stearns and Koella, 2008). Modern antibiotics basically began with penicillin. A British scientist discovered penicillin by the name of Alexander Fleming in 1928. It was not until 1942 that the British and Americans began mass-producing the drug. Its use became widespread during World War II, it became quite popular through its heavy public marketing. During this time penicillin was widely thought of as a miracle drug. People were…

    • 1975 Words
    • 8 Pages
    Powerful Essays
  • Good Essays

    Penicillins as well as cephalosporins are called beta-lactam antibiotics and are characterized by three fundamental structural requirements: the fused beta-lactam structure (shown in the blue and red rings, a free carboxyl acid group (shown in red bottom right Figure1.1), and one or more substituted amino acid side chains (shown in black). The lactam structure can also be viewed as the covalent bonding of pieces of two amino acids - cysteine (blue) and valine (red).…

    • 674 Words
    • 3 Pages
    Good Essays