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Answered: - diagnostic treatment for patient with severe UTI taking SM


diagnostic treatment for patient with severe UTI taking SMX/TMP and now has fever 103.6F, taachypnea, crackles and lung consolidation?


Discussion Part Two (graded)

 

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 (103.6F) and tachypnea, and upon pulmonary examination 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.

 


 

 


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