NATS 1540 Chapter Notes - Chapter 2.9: Cefotaxime, Dexamethasone, Ceftriaxone
31 May 2020
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Name: joseph samuel group: a8 student #: 998472834. Goals of therapy: (should generally include a parameter, value and timeframe: eradicate s. pneumonia within 10-14 days, decrease mortality throughout therapy, manage and minimize acute and chronic complications throughout therapy. If mic 0. 1 g/ml (susceptible), then penicillin g (4 munits q4h) or ampicillin (2 g q4h) should be used. If mic 0. 1-1. 0 g/ml (intermediate), then cefotaxime (2 g q4h) or ceftriaxone (2 g q12h) should be used. If mic 1. 0 g/ml (resistant), then vancomycin (15 mg/kg q12h) and cefotaxime* or ceftriaxone* (doses same as for intermediate strep) should be used. * rifampin can be added if strep mic to 3rd gen cephalosporin implies cephalosporin resistance. Justify your recommendations (interventions) considering efficacy, safety, convenience & cost. Although the organism was identified to be s. pneumoniae, the resistance of the organism to penicillin has not yet been established. Once the mic of the organism to penicillin is determined, appropriate therapy can be determined.
