Natasa
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A 56-year-old intubated patient in the ICU recovering from heart surgery spikes to 39.9 C. His WBC is 25,900 with a neutrophil predominance and he has impressive infiltrates on chest x-ray. Sputum Gram stain reveals 4+ WBC, 4+ GNR, 2+ GPC. What is the most appropriate drug to be given? A.IV Gentamicin B.Oral ciprofloxacin C.Imipenem/Cilastatin D.One of tetraciclines
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| robin082006
Forum Hero
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C?
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| skyhigh
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a?
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| icefires
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b?
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| mjl1717
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Imipenen covers both gram +s and gram -s and anaerobes/ wont cover methicillin resistant staph nor Clostidia. difficile. {inactivated by dehydropeptidase}
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| skyhigh
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yes c, i didn't read the question carefully
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| msyamp
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good one
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| Natasa
Forum Elite
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Good mjl1717,YOU GOT IT!
Again we had a question after:What if the therapy fails?What should you do next?
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| ed222
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It is c. But icefires the question states that the patient is intubated, we can't give oral medications, plus probably still sedated.
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| krsna
Forum Senior
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if this therapy fails ....probably shift him onto cephalosporins...4th gen.
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| Nan
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GNR? GPC?
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| docarchana
Forum Guru
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gm-ve rods, gm+ve cocci
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| Nan
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Thanks Docarchana
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| docarchana
Forum Guru
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yes, i think 4th gen ceph may be useful then..
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