GOGETA
Trying to get in PGY1
Topics: 381
Posts: 3,068
|
the question for me is why the urine is dark?
C or D 'I go with amphotericin IV
___________________
As a general rule, the better it felt when you said it, the more trouble it's going to get you into.
|
| nightflight1945
banned
Topics: 32
Posts: 920
|
You are an intensive care unit (ICU) physician caring for a 54-year-old female with chronic obstructive pulmonary disease who has had a prolonged intubation for hypercarbic respiratory failure. A recent urinalysis revealed the presence of many yeast with 3 to 5 WBC/hpf. She has been afebrile and is clinically stable. A Foley catheter is in place, draining dark yellow urine. A urine culture grows more than 10,000 colonies of Candida albicans. What is the best approach to treating this patient?
A. Treat only if a repeat urine culture reveals more than 100,000 colonies of C.albicans.
B. Initiate therapy with fluconazole through a nasogastric tube.
C. Initiate therapy with amphotericin B intravesicularly.
D. Remove the Foley catheter.
E. Treat only if a repeat urinalysis reveals more than 25 WBC/hpf.
|
| nightflight1945
banned
Topics: 32
Posts: 920
|
D. Remove the Foley catheter. 
|
| Eagle_303
Forum Guru
Topics: 77
Posts: 655
|
Thread Extension
What is the nature of the Problem ?
- Candida contamination or
- Candida Infection ???
|
| kapslock
Forum Newbie
Topics: 8
Posts: 40
|
candida infection
|
| kaphoury
Forum Newbie
Topics: 1
Posts: 18
|
i will go to IV amphotericin B as this is an Invasive candidal infection
___________________
"Their dreams can't reach even where my power can reach.." Fatih Mehmet Sultan
|
| ngaybinhyen
Forum Guru
Topics: 23
Posts: 657
|
You gotta take the Foley out, man
|
| Liferocks
Forum Senior
Topics: 5
Posts: 221
|
Removing the foley is utmost important.
But don't we need to give amphotericin after that?
Edited by Liferocks on 09/19/08 - 11:00 AM
___________________
The biggest obstacle is inside us......conquer ur innerself and u conquer everything.
|
|
| |
| | | | | | | | |
