A 22-year-old Woman with Fever Shortness of Breath

Assignment Task

Jazmine Trivval is a 20-year-old female. Jazmine presents to the hospital feeling unwell. She states that she has been taking paracetamol for fevers for the last 24hrs, that she feels lethargic, and that she has pain in her groin region.

On examination, Jazmine looks tired with sunken eyes, she is warm to touch and there is a swollen area in her left groin that is very warm to touch, painful and red. The area measures 7cm in diameter, and the redness is tracking down her leg another 5cm. Near the centre is a smaller dark red area with 3 pustules. Jazmine tells you that she had an ingrown hair that she squeezed a few days ago. Her vital signs on admission are RR 18bpm, SpO2 97%, HR 128bpm, BP 80/50mmHg, temp 38.4°C.

Jazmine states that she has ‘never been sick in her life’, and that she has only ever taken the occasional paracetamol for pain. She states that she has never taken any other type of medication. The medical team find that the infected hair follicle has been colonised by staphylococcus bacteria. She is diagnosed with Folliculitis, with resulting cellulitis and sepsis. Jazmine is ordered: Flucloxacillin 2g IV 6th hourly, and 1L Normal Saline (0.9% Sodium Chloride) over 4hours. Jazmine responds well to treatment. Her vital signs normalize, and the infection slowly resolves. Jazmine stays in hospital for 3 days, then, when she is feeling better, she is discharged home with a further 7-day course of Flucloxacillin500mg PO 6th hourly.

This assessment item requires you to read the Case Study situated and then discuss the following in relation to the patient's condition and medication.

Part

1. The Pharmacology

• Describe the pathophysiology of this condition.
• Describe the pharmacodynamics of this medication.
• Describe nursing considerations regarding this medication.

Below are some examples of nursing considerations that you could discuss

• Indications
• Contraindications
• Relevant drug interactions
• Potential risks to the patient
• The management of any potential risks
• Any monitoring required.
• When should this medication be taken?
• Any other considerations
• Formulate a patient education plan that you would give this patient regarding their medicine.

Below are some topics that you could give education strategies for:

• How to store the medication
• How/when to take the medication
• How much medication should be taken?
• Immediate and long-term potential side effects
• Interactions with drugs, food, or complementary therapy (if any)
• What should the patient do if they forget to take this medication, or take too much?
• What are the risk factors with the medication? Include the risk, the signs and symptoms if effected, and a treatment plan to correct it.
• Non- Non-pharmaceutical therapies/ changes that the patient could incorporate as an adjunct.

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