Question description

Please do a paragraph about this post with this instruction .

post most have 4 or more sentences .

you also have to have a high quality post from a content perspective. This means it also needs to do more than agree with or praise a class mate. If you agree with a classmate, explain why, give an example, share what you learned in the readings

Mucor is a rare fungal infection stemmed from a mold called mucormycetes (Centers for Disease Control and Prevention, 2015). Most people are not at risk of contracting the infection but those with weakened immune systems are of the highest vulnerability. This mold lives freely in our environment in the soil, organic matter such as decaying trees and air (CDC, 2015). Essentially, the at risk person unknowingly contracts the virus through tasks such as working in the garden or hiking through a high mold infested forest. Spores that are airborne most commonly affect the sinuses and lungs when inhaled. Although, infection can also happen when fungus spores find the opportunity to invade through a break in the barrier in the skin.

Once infected the fungus the quickly progresses to pneumonia (Folh, Chaney & Byars, 2014). Because these are so quickly progressing it is often difficult to diagnose with accuracy Mucor infection. Folh, Caney and Byars (2014), report diagnosing Mucor often presents in imaging such as x-rays and CT scans as a halo or reverse halos, present early as nodules or mases and often are found in the upper lobes of the lungs. Early detection of potential abscesses or masses is crucial to appropriate treatment. Monitoring of labs, specifically white blood counts (WBC) can determine effectiveness of treatment. Symptom management of supplemental oxygen, fever reducing agents such as Tylenol and placing the patient in a private room with possible isolation precautions would be appropriate while providing treatment.

After examination of the lab results the following are found to be abnormal:

• · Fasting Glucose- 138 mg/dL, Normal fasting glucose levels are 70-100. A level of 138 suggests that he is a diabetic which is lowers the immunity. This could also be possible as a natural body response to infection.
• · White Blood Count (WBC)- 15,200/mm3. Normal level 4,500-10,000/mm3. The higher level of 15,200 suggest an infectious process is occurring. This is a natural body response to flood WBC through the blood system to attack the infectious agent.
• · Lymphocytes- 10%. Normal level 20-40%. The lower % suggests that this patient is immunocompromised as the WBC are not adequately able to provide infection fighting capabilities, making him high risk for obtaining infections.

The following are Arterial Blood Gas results in which suggest that the patient is experiencing a mixed alkalosis disorder which involves the respiratory and metabolic systems.

• · Bicarbonate (HCO3)- 29meq/L. Normal level 22-28meq/L. This is an alkaline level.
• · pH- 7.50. Normal level 7.38-7.42. Blood ph at 7.5 is alkaline.
• · PaO2- 59 mm Hg on room air. Normal level 75-100 mm Hg. The body is starving for oxygen!
• · PaCO2- 25 mm Hg. Normal level 38-42 mm Hg. This level is alkaline as well.

Medications that are likely to be prescribed for this case are:

1. Amphotericin B or its newer lipid formulation—liposomal Amphotericin—B (L-AmB) which is administered intravenously is the first line of antibiotic used. Careful monitoring must be considered as this is given at a large dose that is known toxic to the renal system Muqeetadnan, et al., 2012).

2. Another medication that is often used in conjunction with Amphotericin B is posaconazole or isavuconazole which is given orally (CDC, 2015).

3. Caspofungin is another antibiotic specific to fungal infections that may be initiated in early stages.

Treatments that are likely to be prescribed for this case are:

One main agreement in all articles researched in treatment is to aggressive removal of the necrotic tissue. Fungal spores cause infarct to the surrounding tissues causing necrosis of the organ and are aggressive invaders to other tissues if not managed in a timely manner (Muqeetadnan, et al., 2012). Another treatment priority is to locate the cause of immunology, in this case diabetes and lymphocytopenia. Managing glucose levels will prevent further damage to capillaries as well as reduce the “feeding” of the infection. Lymphocytopenia could be either a result of the fungal infection itself so treating the infection and keeping the patient in isolation could prevent further infection. Isolation in this case is not to prevent spread of the infection as its transmission is not spread from person to person (Folh, Chaney & Byars, 2014), but to protect the patient from outside sources infecting him further. This isolation would be similar to a cancer patients need of neutropenia precautions.

CourseLover

(12)

Status NEW Posted 18 Jun 2017 02:06 PM My Price 10.00

----------- He-----------llo----------- Si-----------r/M-----------ada-----------m -----------Tha-----------nk -----------You----------- fo-----------r u-----------sin-----------g o-----------ur -----------web-----------sit-----------e a-----------nd -----------acq-----------uis-----------iti-----------on -----------of -----------my -----------pos-----------ted----------- so-----------lut-----------ion-----------. P-----------lea-----------se -----------pin-----------g m-----------e o-----------n c-----------hat----------- I -----------am -----------onl-----------ine----------- or----------- in-----------box----------- me----------- a -----------mes-----------sag-----------e I----------- wi-----------ll

Not Rated(0)

• Buy Answer