help me

wanderlost

New member
A friend of mine is a nursing student and has to do this case study for class, I told her i would help, but there are some things I don't know. If you know any of these answers and have the time to type them, I'd appreciate it! I already did a lot of it, but some of the transplant stuff I didn't know. But anything would help, as I will compare my answers to yours!



TIA!

<b>Client Profile: Erin is an 8-year-old girl who lives with her parents and two younger sisters, Rachel, who is 5 years old, and Samantha, who is 2 years old. They live in a Midwestern community where Erin's father is a bank manager and her mother is a part-time investment broker who works from home, which allows her to stay at home with the children. Both of Erin's parents are very attentive to the children and are very knowledgeable about Erin's cystic fibrosis, which was diagnosed when Erin was 3 months old. Neither of her sisters has the disease. Erin takes pancreatic enzymes with each meal and snack (six doses per day) and she performs breathing exercises twice a day. Her mother performs postural drainage 1 hour prior to breakfast, again when Erin returns from school in the afternoon, and finally each evening prior to Erin's going to bed.

Case Study: During late spring Erin's breathing has become increasing congested over the past week and her parents suspect that she has developed a respiratory infection when she becomes febrile with a temperature of 37.9 0 C (100.2 0 F). They phone her pediatrician, who recommends that she be admitted to the children's hospital 20 miles away.The pediatrician calls the hospital and informs the chief respiratory resident physician of Erin's history, chief complaints at present, and impending arrival. Sputum cultures, complete blood count, serum electrolyte panel, chest x-ray, and pulmonary function diagnostics are prescribed. Erin's last admission for pulmonary clean-out was 6 months ago. Erin is admitted and her diagnostic results include hemoglobin, 18g/dL; hematocrit, 51%; white blood cell count, 15,000 cells/mm3; platelets, 250,000 cells/mm3; red blood cell count, 5.1 million cells/mm3; serum glucose, 130mg/dL; potassium, 4.0 mmol/L; sodium, 130mmol/L; chloride, 90 mmol/L; blood urea nitrogen (BUN), 26mg/dL; and creatinine, 0.7 mg/dL. Her chest x-ray shows consolidation in her right lower and middle lobes, and her oxygen saturation is 89%. Erin's pulmonary function is determined to be 45% and as you are compiling Erin's history, her mother tells you that Erin has been on the lung transplant list for 9 months. Erin weighs 44 lb on admission.

Questions

1. Discuss your impressions about Erin's diagnostic values.
2. Discuss what risks Erin has for developing a pulmonary infection.
3. What pertinent information is missing?
4. Identify the common microorganisms that cause respiratory infections in a child with cystic fibrosis.
5. What is the relationship between Erin's condition and her oxygen saturation level?
6. The health care provider prescribes ceftazidime 1 g IV every 8 hours; gentamycin 50mg IV every 8 hours; and vancomycin 265 mg IV every 8 hours. Discuss why these drugs are prescribed for Erin.
7. Discuss the safety and efficacy of the doses of the antimicrobial agents prescribed for Erin.
8. What are the criteria established for lung transplant candidates?
9. Erin's condition worsens, and when no cadaver lungs are available, Erin's mother states that she wants to donate part or all of one of her lungs to Erin. After testing her mother for compatibility, the surgeon decides to proceed with the transplant the following day. Identify the priority client problems for Erin following the transplant.
10. Discuss the common immunosuppressant agents used to prevent organ rejection.
11. Erin receives a single lung transplant. Discuss what the risks are for her cystic fibrosis recurring in her transplant lung.
12. Erin and her mother recover from the surgery. Discuss the teaching priorities you will address with Erin and her parents prior to Erin's discharge.
13. What are the current statistics for successful lung transplants?</b>
 

wanderlost

New member
A friend of mine is a nursing student and has to do this case study for class, I told her i would help, but there are some things I don't know. If you know any of these answers and have the time to type them, I'd appreciate it! I already did a lot of it, but some of the transplant stuff I didn't know. But anything would help, as I will compare my answers to yours!



TIA!

<b>Client Profile: Erin is an 8-year-old girl who lives with her parents and two younger sisters, Rachel, who is 5 years old, and Samantha, who is 2 years old. They live in a Midwestern community where Erin's father is a bank manager and her mother is a part-time investment broker who works from home, which allows her to stay at home with the children. Both of Erin's parents are very attentive to the children and are very knowledgeable about Erin's cystic fibrosis, which was diagnosed when Erin was 3 months old. Neither of her sisters has the disease. Erin takes pancreatic enzymes with each meal and snack (six doses per day) and she performs breathing exercises twice a day. Her mother performs postural drainage 1 hour prior to breakfast, again when Erin returns from school in the afternoon, and finally each evening prior to Erin's going to bed.

Case Study: During late spring Erin's breathing has become increasing congested over the past week and her parents suspect that she has developed a respiratory infection when she becomes febrile with a temperature of 37.9 0 C (100.2 0 F). They phone her pediatrician, who recommends that she be admitted to the children's hospital 20 miles away.The pediatrician calls the hospital and informs the chief respiratory resident physician of Erin's history, chief complaints at present, and impending arrival. Sputum cultures, complete blood count, serum electrolyte panel, chest x-ray, and pulmonary function diagnostics are prescribed. Erin's last admission for pulmonary clean-out was 6 months ago. Erin is admitted and her diagnostic results include hemoglobin, 18g/dL; hematocrit, 51%; white blood cell count, 15,000 cells/mm3; platelets, 250,000 cells/mm3; red blood cell count, 5.1 million cells/mm3; serum glucose, 130mg/dL; potassium, 4.0 mmol/L; sodium, 130mmol/L; chloride, 90 mmol/L; blood urea nitrogen (BUN), 26mg/dL; and creatinine, 0.7 mg/dL. Her chest x-ray shows consolidation in her right lower and middle lobes, and her oxygen saturation is 89%. Erin's pulmonary function is determined to be 45% and as you are compiling Erin's history, her mother tells you that Erin has been on the lung transplant list for 9 months. Erin weighs 44 lb on admission.

Questions

1. Discuss your impressions about Erin's diagnostic values.
2. Discuss what risks Erin has for developing a pulmonary infection.
3. What pertinent information is missing?
4. Identify the common microorganisms that cause respiratory infections in a child with cystic fibrosis.
5. What is the relationship between Erin's condition and her oxygen saturation level?
6. The health care provider prescribes ceftazidime 1 g IV every 8 hours; gentamycin 50mg IV every 8 hours; and vancomycin 265 mg IV every 8 hours. Discuss why these drugs are prescribed for Erin.
7. Discuss the safety and efficacy of the doses of the antimicrobial agents prescribed for Erin.
8. What are the criteria established for lung transplant candidates?
9. Erin's condition worsens, and when no cadaver lungs are available, Erin's mother states that she wants to donate part or all of one of her lungs to Erin. After testing her mother for compatibility, the surgeon decides to proceed with the transplant the following day. Identify the priority client problems for Erin following the transplant.
10. Discuss the common immunosuppressant agents used to prevent organ rejection.
11. Erin receives a single lung transplant. Discuss what the risks are for her cystic fibrosis recurring in her transplant lung.
12. Erin and her mother recover from the surgery. Discuss the teaching priorities you will address with Erin and her parents prior to Erin's discharge.
13. What are the current statistics for successful lung transplants?</b>
 

wanderlost

New member
A friend of mine is a nursing student and has to do this case study for class, I told her i would help, but there are some things I don't know. If you know any of these answers and have the time to type them, I'd appreciate it! I already did a lot of it, but some of the transplant stuff I didn't know. But anything would help, as I will compare my answers to yours!



TIA!

<b>Client Profile: Erin is an 8-year-old girl who lives with her parents and two younger sisters, Rachel, who is 5 years old, and Samantha, who is 2 years old. They live in a Midwestern community where Erin's father is a bank manager and her mother is a part-time investment broker who works from home, which allows her to stay at home with the children. Both of Erin's parents are very attentive to the children and are very knowledgeable about Erin's cystic fibrosis, which was diagnosed when Erin was 3 months old. Neither of her sisters has the disease. Erin takes pancreatic enzymes with each meal and snack (six doses per day) and she performs breathing exercises twice a day. Her mother performs postural drainage 1 hour prior to breakfast, again when Erin returns from school in the afternoon, and finally each evening prior to Erin's going to bed.

Case Study: During late spring Erin's breathing has become increasing congested over the past week and her parents suspect that she has developed a respiratory infection when she becomes febrile with a temperature of 37.9 0 C (100.2 0 F). They phone her pediatrician, who recommends that she be admitted to the children's hospital 20 miles away.The pediatrician calls the hospital and informs the chief respiratory resident physician of Erin's history, chief complaints at present, and impending arrival. Sputum cultures, complete blood count, serum electrolyte panel, chest x-ray, and pulmonary function diagnostics are prescribed. Erin's last admission for pulmonary clean-out was 6 months ago. Erin is admitted and her diagnostic results include hemoglobin, 18g/dL; hematocrit, 51%; white blood cell count, 15,000 cells/mm3; platelets, 250,000 cells/mm3; red blood cell count, 5.1 million cells/mm3; serum glucose, 130mg/dL; potassium, 4.0 mmol/L; sodium, 130mmol/L; chloride, 90 mmol/L; blood urea nitrogen (BUN), 26mg/dL; and creatinine, 0.7 mg/dL. Her chest x-ray shows consolidation in her right lower and middle lobes, and her oxygen saturation is 89%. Erin's pulmonary function is determined to be 45% and as you are compiling Erin's history, her mother tells you that Erin has been on the lung transplant list for 9 months. Erin weighs 44 lb on admission.

Questions

1. Discuss your impressions about Erin's diagnostic values.
2. Discuss what risks Erin has for developing a pulmonary infection.
3. What pertinent information is missing?
4. Identify the common microorganisms that cause respiratory infections in a child with cystic fibrosis.
5. What is the relationship between Erin's condition and her oxygen saturation level?
6. The health care provider prescribes ceftazidime 1 g IV every 8 hours; gentamycin 50mg IV every 8 hours; and vancomycin 265 mg IV every 8 hours. Discuss why these drugs are prescribed for Erin.
7. Discuss the safety and efficacy of the doses of the antimicrobial agents prescribed for Erin.
8. What are the criteria established for lung transplant candidates?
9. Erin's condition worsens, and when no cadaver lungs are available, Erin's mother states that she wants to donate part or all of one of her lungs to Erin. After testing her mother for compatibility, the surgeon decides to proceed with the transplant the following day. Identify the priority client problems for Erin following the transplant.
10. Discuss the common immunosuppressant agents used to prevent organ rejection.
11. Erin receives a single lung transplant. Discuss what the risks are for her cystic fibrosis recurring in her transplant lung.
12. Erin and her mother recover from the surgery. Discuss the teaching priorities you will address with Erin and her parents prior to Erin's discharge.
13. What are the current statistics for successful lung transplants?</b>
 

wanderlost

New member
A friend of mine is a nursing student and has to do this case study for class, I told her i would help, but there are some things I don't know. If you know any of these answers and have the time to type them, I'd appreciate it! I already did a lot of it, but some of the transplant stuff I didn't know. But anything would help, as I will compare my answers to yours!



TIA!

<b>Client Profile: Erin is an 8-year-old girl who lives with her parents and two younger sisters, Rachel, who is 5 years old, and Samantha, who is 2 years old. They live in a Midwestern community where Erin's father is a bank manager and her mother is a part-time investment broker who works from home, which allows her to stay at home with the children. Both of Erin's parents are very attentive to the children and are very knowledgeable about Erin's cystic fibrosis, which was diagnosed when Erin was 3 months old. Neither of her sisters has the disease. Erin takes pancreatic enzymes with each meal and snack (six doses per day) and she performs breathing exercises twice a day. Her mother performs postural drainage 1 hour prior to breakfast, again when Erin returns from school in the afternoon, and finally each evening prior to Erin's going to bed.

Case Study: During late spring Erin's breathing has become increasing congested over the past week and her parents suspect that she has developed a respiratory infection when she becomes febrile with a temperature of 37.9 0 C (100.2 0 F). They phone her pediatrician, who recommends that she be admitted to the children's hospital 20 miles away.The pediatrician calls the hospital and informs the chief respiratory resident physician of Erin's history, chief complaints at present, and impending arrival. Sputum cultures, complete blood count, serum electrolyte panel, chest x-ray, and pulmonary function diagnostics are prescribed. Erin's last admission for pulmonary clean-out was 6 months ago. Erin is admitted and her diagnostic results include hemoglobin, 18g/dL; hematocrit, 51%; white blood cell count, 15,000 cells/mm3; platelets, 250,000 cells/mm3; red blood cell count, 5.1 million cells/mm3; serum glucose, 130mg/dL; potassium, 4.0 mmol/L; sodium, 130mmol/L; chloride, 90 mmol/L; blood urea nitrogen (BUN), 26mg/dL; and creatinine, 0.7 mg/dL. Her chest x-ray shows consolidation in her right lower and middle lobes, and her oxygen saturation is 89%. Erin's pulmonary function is determined to be 45% and as you are compiling Erin's history, her mother tells you that Erin has been on the lung transplant list for 9 months. Erin weighs 44 lb on admission.

Questions

1. Discuss your impressions about Erin's diagnostic values.
2. Discuss what risks Erin has for developing a pulmonary infection.
3. What pertinent information is missing?
4. Identify the common microorganisms that cause respiratory infections in a child with cystic fibrosis.
5. What is the relationship between Erin's condition and her oxygen saturation level?
6. The health care provider prescribes ceftazidime 1 g IV every 8 hours; gentamycin 50mg IV every 8 hours; and vancomycin 265 mg IV every 8 hours. Discuss why these drugs are prescribed for Erin.
7. Discuss the safety and efficacy of the doses of the antimicrobial agents prescribed for Erin.
8. What are the criteria established for lung transplant candidates?
9. Erin's condition worsens, and when no cadaver lungs are available, Erin's mother states that she wants to donate part or all of one of her lungs to Erin. After testing her mother for compatibility, the surgeon decides to proceed with the transplant the following day. Identify the priority client problems for Erin following the transplant.
10. Discuss the common immunosuppressant agents used to prevent organ rejection.
11. Erin receives a single lung transplant. Discuss what the risks are for her cystic fibrosis recurring in her transplant lung.
12. Erin and her mother recover from the surgery. Discuss the teaching priorities you will address with Erin and her parents prior to Erin's discharge.
13. What are the current statistics for successful lung transplants?</b>
 

wanderlost

New member
A friend of mine is a nursing student and has to do this case study for class, I told her i would help, but there are some things I don't know. If you know any of these answers and have the time to type them, I'd appreciate it! I already did a lot of it, but some of the transplant stuff I didn't know. But anything would help, as I will compare my answers to yours!



TIA!

<b>Client Profile: Erin is an 8-year-old girl who lives with her parents and two younger sisters, Rachel, who is 5 years old, and Samantha, who is 2 years old. They live in a Midwestern community where Erin's father is a bank manager and her mother is a part-time investment broker who works from home, which allows her to stay at home with the children. Both of Erin's parents are very attentive to the children and are very knowledgeable about Erin's cystic fibrosis, which was diagnosed when Erin was 3 months old. Neither of her sisters has the disease. Erin takes pancreatic enzymes with each meal and snack (six doses per day) and she performs breathing exercises twice a day. Her mother performs postural drainage 1 hour prior to breakfast, again when Erin returns from school in the afternoon, and finally each evening prior to Erin's going to bed.

Case Study: During late spring Erin's breathing has become increasing congested over the past week and her parents suspect that she has developed a respiratory infection when she becomes febrile with a temperature of 37.9 0 C (100.2 0 F). They phone her pediatrician, who recommends that she be admitted to the children's hospital 20 miles away.The pediatrician calls the hospital and informs the chief respiratory resident physician of Erin's history, chief complaints at present, and impending arrival. Sputum cultures, complete blood count, serum electrolyte panel, chest x-ray, and pulmonary function diagnostics are prescribed. Erin's last admission for pulmonary clean-out was 6 months ago. Erin is admitted and her diagnostic results include hemoglobin, 18g/dL; hematocrit, 51%; white blood cell count, 15,000 cells/mm3; platelets, 250,000 cells/mm3; red blood cell count, 5.1 million cells/mm3; serum glucose, 130mg/dL; potassium, 4.0 mmol/L; sodium, 130mmol/L; chloride, 90 mmol/L; blood urea nitrogen (BUN), 26mg/dL; and creatinine, 0.7 mg/dL. Her chest x-ray shows consolidation in her right lower and middle lobes, and her oxygen saturation is 89%. Erin's pulmonary function is determined to be 45% and as you are compiling Erin's history, her mother tells you that Erin has been on the lung transplant list for 9 months. Erin weighs 44 lb on admission.

Questions

1. Discuss your impressions about Erin's diagnostic values.
2. Discuss what risks Erin has for developing a pulmonary infection.
3. What pertinent information is missing?
4. Identify the common microorganisms that cause respiratory infections in a child with cystic fibrosis.
5. What is the relationship between Erin's condition and her oxygen saturation level?
6. The health care provider prescribes ceftazidime 1 g IV every 8 hours; gentamycin 50mg IV every 8 hours; and vancomycin 265 mg IV every 8 hours. Discuss why these drugs are prescribed for Erin.
7. Discuss the safety and efficacy of the doses of the antimicrobial agents prescribed for Erin.
8. What are the criteria established for lung transplant candidates?
9. Erin's condition worsens, and when no cadaver lungs are available, Erin's mother states that she wants to donate part or all of one of her lungs to Erin. After testing her mother for compatibility, the surgeon decides to proceed with the transplant the following day. Identify the priority client problems for Erin following the transplant.
10. Discuss the common immunosuppressant agents used to prevent organ rejection.
11. Erin receives a single lung transplant. Discuss what the risks are for her cystic fibrosis recurring in her transplant lung.
12. Erin and her mother recover from the surgery. Discuss the teaching priorities you will address with Erin and her parents prior to Erin's discharge.
13. What are the current statistics for successful lung transplants?</b>
 

Sevenstars

New member
Am I the only one that thinks this is a little unbelievable? 45% lung function on transplant list, at 8 years old?

Anyway.. I usually frown on doing someone else's homework for them, but this seems like a fun exercise. I'm sure most of us could do this passably well, never having set foot in nursing school.. sad, eh.

1. Not too familiar with exact blood values but I *think* that hemoglobin is low and white cell count is high.. but don't quote me on that. She is well underweight for an 8 year old, and her height is not listed.

2. Risk factors? Like having CF? Or risks as in exposure to colds/illness at school?

3. Height and BMI information. GI information missing. Medication list missing. DRUG ALLERGIES missing. Any physical exam info missing - breath sounds etc, signs of dehydration, throat/nose exam, etc.

4. Staph, Pseduomonas aeuroginsa and to a lesser extent B. cepacia, Aspergillus, MRSA

5. Her 02 sucks, and she has a respiratory infection, I'm not sure what else they want you to say there.

6. Antibiotics that were shown to be useful according to her last sputum culture, I would hope.

7. That seems a bit high for her age and weight, but your friend can probably look up the specifics of that. (especially the 1g of ceftaz.. I took 2g and I weigh 3x what this imaginary patient does)

8. This is why I said it seems unreasonable. As far as I know, your FEV1 should be more in the 20-30% range.. not 45%. We have tons of people on this site in the 40's that work full time jobs and have families.. and are pre-tx.

<skipping the last few since I don't have much tx knowledge>

Tell your friend she needs to share the official answers with us when she gets her hw back. <img src="i/expressions/face-icon-small-tongue.gif" border="0">
 

Sevenstars

New member
Am I the only one that thinks this is a little unbelievable? 45% lung function on transplant list, at 8 years old?

Anyway.. I usually frown on doing someone else's homework for them, but this seems like a fun exercise. I'm sure most of us could do this passably well, never having set foot in nursing school.. sad, eh.

1. Not too familiar with exact blood values but I *think* that hemoglobin is low and white cell count is high.. but don't quote me on that. She is well underweight for an 8 year old, and her height is not listed.

2. Risk factors? Like having CF? Or risks as in exposure to colds/illness at school?

3. Height and BMI information. GI information missing. Medication list missing. DRUG ALLERGIES missing. Any physical exam info missing - breath sounds etc, signs of dehydration, throat/nose exam, etc.

4. Staph, Pseduomonas aeuroginsa and to a lesser extent B. cepacia, Aspergillus, MRSA

5. Her 02 sucks, and she has a respiratory infection, I'm not sure what else they want you to say there.

6. Antibiotics that were shown to be useful according to her last sputum culture, I would hope.

7. That seems a bit high for her age and weight, but your friend can probably look up the specifics of that. (especially the 1g of ceftaz.. I took 2g and I weigh 3x what this imaginary patient does)

8. This is why I said it seems unreasonable. As far as I know, your FEV1 should be more in the 20-30% range.. not 45%. We have tons of people on this site in the 40's that work full time jobs and have families.. and are pre-tx.

<skipping the last few since I don't have much tx knowledge>

Tell your friend she needs to share the official answers with us when she gets her hw back. <img src="i/expressions/face-icon-small-tongue.gif" border="0">
 

Sevenstars

New member
Am I the only one that thinks this is a little unbelievable? 45% lung function on transplant list, at 8 years old?

Anyway.. I usually frown on doing someone else's homework for them, but this seems like a fun exercise. I'm sure most of us could do this passably well, never having set foot in nursing school.. sad, eh.

1. Not too familiar with exact blood values but I *think* that hemoglobin is low and white cell count is high.. but don't quote me on that. She is well underweight for an 8 year old, and her height is not listed.

2. Risk factors? Like having CF? Or risks as in exposure to colds/illness at school?

3. Height and BMI information. GI information missing. Medication list missing. DRUG ALLERGIES missing. Any physical exam info missing - breath sounds etc, signs of dehydration, throat/nose exam, etc.

4. Staph, Pseduomonas aeuroginsa and to a lesser extent B. cepacia, Aspergillus, MRSA

5. Her 02 sucks, and she has a respiratory infection, I'm not sure what else they want you to say there.

6. Antibiotics that were shown to be useful according to her last sputum culture, I would hope.

7. That seems a bit high for her age and weight, but your friend can probably look up the specifics of that. (especially the 1g of ceftaz.. I took 2g and I weigh 3x what this imaginary patient does)

8. This is why I said it seems unreasonable. As far as I know, your FEV1 should be more in the 20-30% range.. not 45%. We have tons of people on this site in the 40's that work full time jobs and have families.. and are pre-tx.

<skipping the last few since I don't have much tx knowledge>

Tell your friend she needs to share the official answers with us when she gets her hw back. <img src="i/expressions/face-icon-small-tongue.gif" border="0">
 

Sevenstars

New member
Am I the only one that thinks this is a little unbelievable? 45% lung function on transplant list, at 8 years old?

Anyway.. I usually frown on doing someone else's homework for them, but this seems like a fun exercise. I'm sure most of us could do this passably well, never having set foot in nursing school.. sad, eh.

1. Not too familiar with exact blood values but I *think* that hemoglobin is low and white cell count is high.. but don't quote me on that. She is well underweight for an 8 year old, and her height is not listed.

2. Risk factors? Like having CF? Or risks as in exposure to colds/illness at school?

3. Height and BMI information. GI information missing. Medication list missing. DRUG ALLERGIES missing. Any physical exam info missing - breath sounds etc, signs of dehydration, throat/nose exam, etc.

4. Staph, Pseduomonas aeuroginsa and to a lesser extent B. cepacia, Aspergillus, MRSA

5. Her 02 sucks, and she has a respiratory infection, I'm not sure what else they want you to say there.

6. Antibiotics that were shown to be useful according to her last sputum culture, I would hope.

7. That seems a bit high for her age and weight, but your friend can probably look up the specifics of that. (especially the 1g of ceftaz.. I took 2g and I weigh 3x what this imaginary patient does)

8. This is why I said it seems unreasonable. As far as I know, your FEV1 should be more in the 20-30% range.. not 45%. We have tons of people on this site in the 40's that work full time jobs and have families.. and are pre-tx.

<skipping the last few since I don't have much tx knowledge>

Tell your friend she needs to share the official answers with us when she gets her hw back. <img src="i/expressions/face-icon-small-tongue.gif" border="0">
 

Sevenstars

New member
Am I the only one that thinks this is a little unbelievable? 45% lung function on transplant list, at 8 years old?

Anyway.. I usually frown on doing someone else's homework for them, but this seems like a fun exercise. I'm sure most of us could do this passably well, never having set foot in nursing school.. sad, eh.

1. Not too familiar with exact blood values but I *think* that hemoglobin is low and white cell count is high.. but don't quote me on that. She is well underweight for an 8 year old, and her height is not listed.

2. Risk factors? Like having CF? Or risks as in exposure to colds/illness at school?

3. Height and BMI information. GI information missing. Medication list missing. DRUG ALLERGIES missing. Any physical exam info missing - breath sounds etc, signs of dehydration, throat/nose exam, etc.

4. Staph, Pseduomonas aeuroginsa and to a lesser extent B. cepacia, Aspergillus, MRSA

5. Her 02 sucks, and she has a respiratory infection, I'm not sure what else they want you to say there.

6. Antibiotics that were shown to be useful according to her last sputum culture, I would hope.

7. That seems a bit high for her age and weight, but your friend can probably look up the specifics of that. (especially the 1g of ceftaz.. I took 2g and I weigh 3x what this imaginary patient does)

8. This is why I said it seems unreasonable. As far as I know, your FEV1 should be more in the 20-30% range.. not 45%. We have tons of people on this site in the 40's that work full time jobs and have families.. and are pre-tx.

<skipping the last few since I don't have much tx knowledge>

Tell your friend she needs to share the official answers with us when she gets her hw back. <img src="i/expressions/face-icon-small-tongue.gif" border="0">
 

JustDucky

New member
I too thought that the FEV1 was high for being listed on a transplant list. I am not familiar with the entire transplant procedure...I do know that chest size, blood type, antibodies, etc are significant as far as transplant goes.

1) Erin has an elevated WBC at 15,000 (normal is around 4,500 to 10,800 I think) indicates infection, her Hgb (hemaglobin) is elevated at 18 as is her Hct (hematocrit) at 51. Her RBC's are slightly elevated at 5.1. Maybe she is a bit dehydrated...but perhaps she has polycythemia as a result of chronic hypoxia (just a guess though). The consolidation in her RLL and RML indicates pneumonia. Her sodium and chloride are also low at 130 and 90 respectively also due to her CF. BUN and creat. look okay. Glucose is okay if this is not a fasting sample. She is undeweight at 44 lbs, no height listed.

3.) Alot is missing as SevenStars said: Any CT scan results , GI info (bowels, CFRD?, nutritional screens), definitely drug allergies, what organisms ultimately grew out of the sputum sample, the entire physical exam, meds, were any repeat PFT's ordered?, also..what other meds or interventions were ordered for Erin (such as O2, nutrition assessments, meds, chest physio etc...) I know I forgot other stuff...

6.) Vanco is used mainly for MRSA (and some other creepy bugs), Gent and Ceftaz are great anti pseudomonals. Hopefully this med combo was dependent on the results of her sputum culture. Gent is 3-6mg/kg/day divided equally in 3 doses usually...Erin is about 20kg, so her max dosage in a day is 120mg total. Maybe the gent is a teeny bit too high. The vanco dosage looks okay. I have seen 1g Ceftazadime given q8 in young patients.

I am at loss with the xplant questions..

11.) The transplanted lung won't develop CF in them...rejection maybe, but not CF..the DNA of the new lung does not have CF

Wish I could be more helpful...Hugs, Jenn <img src="i/expressions/face-icon-small-smile.gif" border="0">
 

JustDucky

New member
I too thought that the FEV1 was high for being listed on a transplant list. I am not familiar with the entire transplant procedure...I do know that chest size, blood type, antibodies, etc are significant as far as transplant goes.

1) Erin has an elevated WBC at 15,000 (normal is around 4,500 to 10,800 I think) indicates infection, her Hgb (hemaglobin) is elevated at 18 as is her Hct (hematocrit) at 51. Her RBC's are slightly elevated at 5.1. Maybe she is a bit dehydrated...but perhaps she has polycythemia as a result of chronic hypoxia (just a guess though). The consolidation in her RLL and RML indicates pneumonia. Her sodium and chloride are also low at 130 and 90 respectively also due to her CF. BUN and creat. look okay. Glucose is okay if this is not a fasting sample. She is undeweight at 44 lbs, no height listed.

3.) Alot is missing as SevenStars said: Any CT scan results , GI info (bowels, CFRD?, nutritional screens), definitely drug allergies, what organisms ultimately grew out of the sputum sample, the entire physical exam, meds, were any repeat PFT's ordered?, also..what other meds or interventions were ordered for Erin (such as O2, nutrition assessments, meds, chest physio etc...) I know I forgot other stuff...

6.) Vanco is used mainly for MRSA (and some other creepy bugs), Gent and Ceftaz are great anti pseudomonals. Hopefully this med combo was dependent on the results of her sputum culture. Gent is 3-6mg/kg/day divided equally in 3 doses usually...Erin is about 20kg, so her max dosage in a day is 120mg total. Maybe the gent is a teeny bit too high. The vanco dosage looks okay. I have seen 1g Ceftazadime given q8 in young patients.

I am at loss with the xplant questions..

11.) The transplanted lung won't develop CF in them...rejection maybe, but not CF..the DNA of the new lung does not have CF

Wish I could be more helpful...Hugs, Jenn <img src="i/expressions/face-icon-small-smile.gif" border="0">
 

JustDucky

New member
I too thought that the FEV1 was high for being listed on a transplant list. I am not familiar with the entire transplant procedure...I do know that chest size, blood type, antibodies, etc are significant as far as transplant goes.

1) Erin has an elevated WBC at 15,000 (normal is around 4,500 to 10,800 I think) indicates infection, her Hgb (hemaglobin) is elevated at 18 as is her Hct (hematocrit) at 51. Her RBC's are slightly elevated at 5.1. Maybe she is a bit dehydrated...but perhaps she has polycythemia as a result of chronic hypoxia (just a guess though). The consolidation in her RLL and RML indicates pneumonia. Her sodium and chloride are also low at 130 and 90 respectively also due to her CF. BUN and creat. look okay. Glucose is okay if this is not a fasting sample. She is undeweight at 44 lbs, no height listed.

3.) Alot is missing as SevenStars said: Any CT scan results , GI info (bowels, CFRD?, nutritional screens), definitely drug allergies, what organisms ultimately grew out of the sputum sample, the entire physical exam, meds, were any repeat PFT's ordered?, also..what other meds or interventions were ordered for Erin (such as O2, nutrition assessments, meds, chest physio etc...) I know I forgot other stuff...

6.) Vanco is used mainly for MRSA (and some other creepy bugs), Gent and Ceftaz are great anti pseudomonals. Hopefully this med combo was dependent on the results of her sputum culture. Gent is 3-6mg/kg/day divided equally in 3 doses usually...Erin is about 20kg, so her max dosage in a day is 120mg total. Maybe the gent is a teeny bit too high. The vanco dosage looks okay. I have seen 1g Ceftazadime given q8 in young patients.

I am at loss with the xplant questions..

11.) The transplanted lung won't develop CF in them...rejection maybe, but not CF..the DNA of the new lung does not have CF

Wish I could be more helpful...Hugs, Jenn <img src="i/expressions/face-icon-small-smile.gif" border="0">
 

JustDucky

New member
I too thought that the FEV1 was high for being listed on a transplant list. I am not familiar with the entire transplant procedure...I do know that chest size, blood type, antibodies, etc are significant as far as transplant goes.

1) Erin has an elevated WBC at 15,000 (normal is around 4,500 to 10,800 I think) indicates infection, her Hgb (hemaglobin) is elevated at 18 as is her Hct (hematocrit) at 51. Her RBC's are slightly elevated at 5.1. Maybe she is a bit dehydrated...but perhaps she has polycythemia as a result of chronic hypoxia (just a guess though). The consolidation in her RLL and RML indicates pneumonia. Her sodium and chloride are also low at 130 and 90 respectively also due to her CF. BUN and creat. look okay. Glucose is okay if this is not a fasting sample. She is undeweight at 44 lbs, no height listed.

3.) Alot is missing as SevenStars said: Any CT scan results , GI info (bowels, CFRD?, nutritional screens), definitely drug allergies, what organisms ultimately grew out of the sputum sample, the entire physical exam, meds, were any repeat PFT's ordered?, also..what other meds or interventions were ordered for Erin (such as O2, nutrition assessments, meds, chest physio etc...) I know I forgot other stuff...

6.) Vanco is used mainly for MRSA (and some other creepy bugs), Gent and Ceftaz are great anti pseudomonals. Hopefully this med combo was dependent on the results of her sputum culture. Gent is 3-6mg/kg/day divided equally in 3 doses usually...Erin is about 20kg, so her max dosage in a day is 120mg total. Maybe the gent is a teeny bit too high. The vanco dosage looks okay. I have seen 1g Ceftazadime given q8 in young patients.

I am at loss with the xplant questions..

11.) The transplanted lung won't develop CF in them...rejection maybe, but not CF..the DNA of the new lung does not have CF

Wish I could be more helpful...Hugs, Jenn <img src="i/expressions/face-icon-small-smile.gif" border="0">
 

JustDucky

New member
I too thought that the FEV1 was high for being listed on a transplant list. I am not familiar with the entire transplant procedure...I do know that chest size, blood type, antibodies, etc are significant as far as transplant goes.

1) Erin has an elevated WBC at 15,000 (normal is around 4,500 to 10,800 I think) indicates infection, her Hgb (hemaglobin) is elevated at 18 as is her Hct (hematocrit) at 51. Her RBC's are slightly elevated at 5.1. Maybe she is a bit dehydrated...but perhaps she has polycythemia as a result of chronic hypoxia (just a guess though). The consolidation in her RLL and RML indicates pneumonia. Her sodium and chloride are also low at 130 and 90 respectively also due to her CF. BUN and creat. look okay. Glucose is okay if this is not a fasting sample. She is undeweight at 44 lbs, no height listed.

3.) Alot is missing as SevenStars said: Any CT scan results , GI info (bowels, CFRD?, nutritional screens), definitely drug allergies, what organisms ultimately grew out of the sputum sample, the entire physical exam, meds, were any repeat PFT's ordered?, also..what other meds or interventions were ordered for Erin (such as O2, nutrition assessments, meds, chest physio etc...) I know I forgot other stuff...

6.) Vanco is used mainly for MRSA (and some other creepy bugs), Gent and Ceftaz are great anti pseudomonals. Hopefully this med combo was dependent on the results of her sputum culture. Gent is 3-6mg/kg/day divided equally in 3 doses usually...Erin is about 20kg, so her max dosage in a day is 120mg total. Maybe the gent is a teeny bit too high. The vanco dosage looks okay. I have seen 1g Ceftazadime given q8 in young patients.

I am at loss with the xplant questions..

11.) The transplanted lung won't develop CF in them...rejection maybe, but not CF..the DNA of the new lung does not have CF

Wish I could be more helpful...Hugs, Jenn <img src="i/expressions/face-icon-small-smile.gif" border="0">
 
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