27 Jul I NEED A POSITIVE COMMENT BASED IN THIS
I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 120-150 WORDSMucor is a fungi of the order Mucorales and class Zygomycetes (Maheen et al 2014). It causes a disease called mucormycosis a mold infection which could be life threatening and has to be treated emergently. Mucormycosis is not common but can be frequent in immunocompromised patients (neutropenic diabetic ketoacidosis) (NIH 2016). Mucor is a fungus living in the soil. Humans can get infected through soil or inhaling it in the air. When a person inhales Mucor spores she or he can become infected with it. If a patient has weak immune system this fungus starts to grow in the lungs causing pneumonia. Symptoms might include cough shortness of breath and fever. Early detection is crucial as this fungus can disseminate quickly (Maheen 2014).Two interventions:Laboratory Blood Test Results and Arterial Blood GasesNa 141 meq/L WNLMg 1.7 mg/dL WNLpH 7.50 HK 4.5 meq/L WNLPO4 2.9 mg/dL LPaO2 59 mm Hg on room air LCl 105 meq/L WNLGlu fasting 138 mg/dL HPaCO2 25 mm Hg LHCO3 29 meq/L HHb 13.7 g/dL WNLBUN 16 mg/dL WNLHct 39.4% WNLCr 0.9 mg/dL WNLWBC 15 200/mm HCa 8.7 mg/dL LLymphocytes 10% LThis patients laboratory values point to the infection. WBCs are elevated meaning the body is trying to fight the infection. Lymphocytes are low which might be sign of compromised immune system. Fasting glucose is high which means patients body is not in the homeostatic state most probably is high due to infection.ABGs are not WNL. They indicate patients respiratory system is compromised and are confirming pneumonia which is seen on the X-ray as well.Breathing is compromised which reflects PaO2 (low oxygen saturation) and PaCO2 being low .Patients respiratory rate is most probably elevated and breathing is not deep enough well. Oxygen exchange is not sufficient because of the infection therefore level of O2 and CO2 is not WNL. PH is high (alkaline) which leads to elevated bicarbonate levels as well.3. What medications and medical treatments are likely to be prescribed by the attending physician on this case? List at least three medications and three treatments. Provide rationale for each of the medications and treatments you suggest.- Amphotericin B posaconazole isavuconazole. These medications are antifungals. (Centers for Disease Control [CDC] 2015).- Steroids to decrease inflammation and improve breathing- Cough medication antipyretics and analgesics.2.Treatments:- possibly bronchoscopy or surgery . Mucor can cause tissue necrosis (CDC 2015)- breathing treatment and oxygen to increase gas exchange- monitor ABGs and vital signs closely to prevent deconditioningReferences:Centers for Disease Control and Prevention (CDC). (2015). Mucormycosis. Retrieved from https://www.cdc.gov/fungal/diseases/mucormycosis/treatment.htmMaheen Z. Abidi Nayantara Coelho-Prabhu James Hargreaves Tim Weiland Irminne Van Dyken Aaron Tande Pritish K. Tosh Randall C. Walker and Nathan W. Cummins Mucormycosis in Patients with Inflammatory Bowel Disease: Case Series and Review of the Literature Case Reports in Medicine vol. 2014 pp. 17 2014.National Institute of Health. (2011). Mucormycosis Caused by unusual Mucormycotes Non-Rhizopus -Mucor and Lichtheimia Species. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/21482731/Ziaee A. Zia M. Bayat M. & Hashemi J. (2016). Molecular Identification ofMucorandLichtheimiaSpecies in Pure Cultures ofZygomycetes.Jundishapur Journal of Microbiology 9(4) e35237. http://doi.org/10.5812/jjm.35237
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