DQ 2: severe urinary tract infection

NR 508 Week 5 DQ 2

discussion part two

the patient is diagnosed with a severe urinary tract infection (pyelonephritis), and you decide to prescribe him sulfamethoxazole/trimethoprim (smx/tmp) beginning with 2 g initially as a loading dose, followed by 1 g as a maintenance dose bid. over the next couple of weeks, the symptoms associated with his uti diminish, and his mental status improves. however, ms. webb brings him back to your clinic with symptoms, which scare her yet again, and she explains that she thinks he may have a relapse of his uti. these symptoms include a high fever (103.6°f) and tachypnea, and upon at your clinic, you hear crackles, and find classic findings of lung consolidation.

what laboratory tests should you order, and what is your primary diagnosis at this point and subsequent steps in his treatment and management?

once explained, please indicate and describe your chosen pharmacological treatment with inclusion of dose and mechanism of action of your chosen prescription.

APA Writing Checklist

Use this document as a checklist for each paper you will write throughout your GCU graduate program. Follow specific instructions indicated in the assignment and use this checklist to help ensure correct grammar and APA formatting. Refer to the APA resources available in the GCU Library and Student Success Center.

☐ APA paper template (located in the Student Success Center/Writing Center) is utilized for the correct format of the paper. APA style is applied, and format is correct throughout.

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Examples of Scholarly Resources include: Academic journals, books written by experts in a field, and formally published encyclopedias and dictionaries.

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Adapted from “Evaluating Resources: Defining Scholarly Resources,” located in Research Guides in the GCU Library.

☐ The writer is clearly in command of standard, written, academic English. Utilize writing resources such as Grammarly, LopesWrite report, and ThinkingStorm to check your writing.

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