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Title: clinical case study Post by: muratuba on Jun 9, 2012 A young mother brought her frail infant to a south Texas emergency room. While she waited, her infant began to have seizures.The staff stabilized the baby,while the mother explained that the child had been ill for many days.Feverish at times,the infant had lost weight because she was too short of breath to nurse.Other family members were ill with bad coughs.
The baby girl was late diognosed with a dangerous form of TB hat affected her brain.She was hospitalized ad placed in isolation.Health department officials investigated and discovered that the infant had been exposed to TB from to individuals:an infected uncle and her TB-infected father whom the mother had visited in Mexican jailInmates from the jail carried a potent strain of TB that was resistant to several standarts anti-tuberculosis drug.It would take many weeks to determine which of the two strains was afecting her brain. Doctors had to make a tough decision:should they immdiatly begin treating the infant for multi-drug-resistant strain, which involves using five to seven diffrent drugs with ultiple and painful side effects for many months,or treat her for the more normal form of TB using a more typical and less stressful drug regimen for an equal lenght of time? 1.What issues must be considered in order to determine the drug therapy for the infant? 2.What treatment would you guess was used for the infant? :hey: ??? ??? ??? ??? ??? Title: Re: clinical case study Post by: muratuba on Jun 13, 2012 1. Spectrum of action, efficacy (strain sensitivity to the drug), routes of administration
(ability to maintain an IV access), safety and side effects (toxicity, allergies, tolerance for treatment), client age and physical condition, resources to continue extensive treatment. 2. Because the risks of TB in the brain are more severe than the risks of multidrug treatment, the doctors decided to treat the child for MDR-TB. A sixweek culture from the infant’s bronchial secretions produced the MDR strain of TB; therefore, the more aggressive treatment continued well over 18 months before the infection was finally cleared. SOLVED BY BIO-MAN |