RESPOND TO YOUR COLLEAGES POST TO THE CASE STUDY BELOW WITH FEEDBACK ON ADDITIONAL ALTERNATIVE DRUG TREATMENT
Case Study 1
HH is a 68 yo M who has been admitted to the medical ward with community-acquired pneumonia for the past 3 days. His PMH is significant for COPD, HTN, hyperlipidemia, and diabetes. He remains on empiric antibiotics, which include ceftriaxone 1 g IV qday (day 3) and azithromycin 500 mg IV qday (day 3). Since admission, his clinical status has improved, with decreased oxygen requirements. He is not tolerating a diet at this time with complaints of nausea and vomiting.
Ht: 5’8” Wt: 89 kg
Allergies: Penicillin (rash)
* COLLEAGES RESPONSE ARE ATTACHED IN A FILE TO THIS ASSIGNMENT
Expert Solution Preview
Introduction:
In this case study, HH is a 68-year-old male patient who has been hospitalized with community-acquired pneumonia and has a past medical history significant for COPD, HTN, hyperlipidemia, and diabetes. The patient is currently on empiric antibiotics and experiencing nausea and vomiting.
Feedback on Additional Alternative Drug Treatment:
I agree with my colleague’s suggestion to add on antiemetic therapy for HH’s nausea and vomiting. However, I would like to suggest considering the use of a proton pump inhibitor (PPI) for the patient as well. PPIs have been shown to reduce the risk of gastrointestinal bleeding in patients on long-term antibiotics, and given HH’s age and comorbidities, this may be an important consideration for his overall health. Additionally, PPIs have been shown to reduce the risk of pneumonia in patients on long-term acid suppression therapy, which may be beneficial in this case as well. Therefore, I recommend adding a PPI to HH’s treatment regimen to address potential gastrointestinal and pulmonary complications.