J.L. SOAP NOTE Subjective J.L. is a 63-year-old white female who presented to the ER with right lower extremity pain and swelling with subsequent changes to the skin‚ including formation of bullous ulcers. She had blistering over the past four days that started to enlarge. The doctor prescribed her Bactrim. Erythema‚ swelling‚ and pain progressively got worse. She denies any fever or chills. PMH: COPD‚ Hypertension‚ Diabetes mellitus‚ Osteoporosis‚ Fibromyalgia‚ Osteoarthritis‚ Morbid obesity
Premium Renal failure Liver function tests Nephrology
Adrenergic Agonists (a.k.a. Sympathomimetic Drugs) I. Direct stimulants of α and β receptors 1. Epinephrine (Adrenaline) 2. Norepinephrine (Levophed) 3. Levonordefrin (Neo-Cobefrin) 4. Dopamine (Intropin) 5. Ephedrine II. Direct stimulants of α receptors (α agonists) 1. Phenylephrine (Neo-synephrine) III. Direct stimulants of β receptors (β agonists) 1. Isoproterenol (Isuprel) 2. Selective stimulants of β2 receptors in the bronchi (for asthma) 2.a. Salbutanol (Ventolin) 2.b. Terbutaline
Premium Selective serotonin reuptake inhibitor Morphine Antidepressant
findings to the US FDA for approval. In the first trial he studied 475 randomized patients who received the Oritavancin drug one time‚ and 479 patients who received the typical regimen of Vancomycin twice a day for up to 10 days. Results of this study found that a single dose of Oritavancin was just as effective as Vancomycin in shrinking the infection‚ lowering fever‚ and even curing cases of MRSA. Dr. Corey states in this article that “this new drug could reduce the amount of time patients would spend
Premium Illness Staphylococcus aureus Clostridium difficile
I. Introduction of Disease An abscess (Latin: abscessus) is a collection of pus (dead neutrophils) that has accumulated in a cavity formed by the tissue on the basis of an infectious process (usually caused by bacteria orparasites) or other foreign materials (e.g. splinters‚ bullet wounds‚ or injecting needles). It is adefensive reaction of the tissue to prevent the spread of infectious materials to other parts of the body. The organisms or foreign materials kill the local cells‚ resulting in the
Premium Staphylococcus aureus
Evaluation of antidiabetic and antimicrobial activity of jasminum grandiflorum leaves INTRODUTION 1.1. The pancreas and insulin formation The pancreas is an elongated organ situated next to the first part of the small intestine. It is both an endocrine gland that produces hormones‚ such as insulin and glucagon‚ and an exocrine gland producing digestive enzymes‚ such as trypsin and chymotrypsin (Martini‚ 2004). It is located behind the stomach‚ between the spleen and the duodenum (see Figure
Premium Insulin Diabetes mellitus Blood sugar
Genetics: the science of heredity that includes the study of what genes are‚ how they carry info‚ how they are replicated and passed to subsequent generations of cells or passed between organisms‚ and how the expression of their info within an organism determines the particular characteristics of that organism. Genome: the cell’s genetic information that includes it’s plasmids and chromosome. Chromosomes: structures containing DNA that physically carry hereditary info‚ contain the genes Genes:
Free DNA Bacteria
Clostridium Difficile Anna Kay Mew BIOL 210 Summer 2013 Frank D Boone June 11‚ 2013 Clostridium Difficile The healthcare professional can expect to encounter various conditions within their scope of experience. Clostridium difficile represents one of the most common and challenging nosocomial infections that can cause life-threatening complications such as hypervolemia‚ sepsis‚ pain‚ and peritonitis (Grossman and Mager 155). The recognition‚ diagnosis‚ treatment and inhibition
Premium Hospital Bacteria Staphylococcus aureus
new ways to be unkillable. The supreme potency of penicillin didn’t last long. The first resistant strains of Staphylococcus aureus were reported in 1947. A newer staph-killing drug‚ methicillin‚ came into use during the 1960s‚ but methicillin-resistant strains appeared soon‚ and by the 1980s those strains were widespread. Vancomycin became the next great weapon against staph‚ and the first vancomycin-resistant strain emerged in 2002. These antibioticresistant strains represent an evolutionary series
Premium Evolution Charles Darwin Natural selection
International Journal of Food Microbiology 71 Ž2001. 1–20 www.elsevier.comrlocaterijfoodmicro Review article Bacteriocins: safe‚ natural antimicrobials for food preservation Jennifer Cleveland a ‚ Thomas J. Montville a ‚ Ingolf F. Nes b‚ Michael L. Chikindas a‚ ) a Department of Food Science‚ Rutgers‚ The State UniÕersity of New Jersey‚ 65 Dudley Road‚ New Brunswick‚ NJ 08901‚ USA b Laboratory of Microbial Gene Technology‚ Department of Biotechnological Sciences‚ Agricultural UniÕersity
Premium Cheese Bacteria Amino acid
In 1847 Ignaz Semmelweiss discovered that healthcare associated infections (HCAIs) were commonly transmitted by the hands of healthcare workers and hand washing was an important component in breaking the chain of infection (Weston‚ 2008 and World Health Organization (WHO)‚ 2009). Hand washing helps to control infection rates (Weston‚ 2008) and is the simplest and most effective way to break the chain of infection and prevent HCAIs (Pittet & Boye‚ 2001). This assignment will examine the chain of
Premium Hygiene Health care Patient