Complications of septicemia.

Your patient is a 42-year-old female that arrives in the ED with complaints of fever and not feeling well. She is currently undergoing chemotherapy for bladder cancer. She has an indwelling urinary catheter with scant amount of dark, foul smelling urine. She has a temperature of 102.2F, HR 136, BP 110/50 and RR 28. She is allergic to penicillin and Sulfa.

What type of shock is she experiencing?
The patient is experiencing septic shock. The patient is also exhibiting signs of a urinary tract infection with complications of septicemia.

What interventions do you anticipate the doctor will order?
I would anticipate for the MD to conduct a urine culture, fluid maintenance, IV antibiotics, and a CBC because the patient is on chemotherapy. The MD might also order a vasopressor which constricts the blood vessels and increases the blood pressure to keep the organs from shutting down.

What can you teach this patient about prevention of infection?
I would teach the patient the importance of maintaining proper hygiene while handling the catheter, regular changing of the catheter, wipe front to back after using the restroom, urinate immediately after intercourse, wear cotton underwear, and consuming plenty of water to maintain a healthy urinary tract

The doctor orders Bactrim. What should you be concern about? Why?
The patient is allergic to Sulpha and the doctor has prescribed Bactrim which is a combination drug that consist of Sulpha. I would be concerned because the patient is allergic to the prescribed medication but also needs immediate antibiotic therapy.

 

Sample Solution

Society essentially followed pre-decided strict convictions to acquire implies to-end yet advancement brought information and science that changed the general public particularly in the western world that recently had been directed by strict convictions predominately strict Christianity convictions, that individuals didn’t address, nonetheless, the western culture become less administered by moral means-to-end however more by specialized means-to-end activities. Weber (1904) guaranteed that the result of this adjustment of society itself was that the specialized standards exposed to the ‘closes’ turned out to be more significant for people to accomplish no matter what in the western entrepreneur society by which ‘formal levelheadedness’ turned into the center improvement of administration with: an ‘end’ estimation for example ‘calculability’ similar to the best means-to-end strategy for ‘effectiveness’ with ‘consistency’ as a guaranteed of the best result with ‘choices made by innovation’ and not people to increment productivity in ‘controlled’ techniques and ‘vulnerability’ (Weber, 1904). This lead to ‘formal levelheadedness’ ruling the western world because of prevalence of specialized and regulatory frameworks over different types of organization and Weber (1904) contended that the regulatory frameworks improvement made it conceivable to look at creation levels from machines instead of non-mechanical creation by people, notwithstanding, decreased other managerial techniques to subjection yet ‘formal standards’ of ‘administration’ advancement as the unrivaled strategies (Weber, 1904).

Weber (1904) contended that ‘formal soundness’ and ‘organization’ prompted the western contemporary society to form into a ‘entrepreneur’ lifestyle by which ‘formal legitimization’ strategies for ‘proficiency’ and ‘computation’ progressively turned into the fundamental points in friendly activities that diminished ‘considerable levelheaded’ convictions in ‘religion, customs, feelings, local area values’ consequently got supplanted by generic dehumanizing regulatory frameworks of ‘formal reasonableness’ (Weber, 1904) .

Weber (1904) inspected that the underlying driver of cultural change from conventional ‘meaningful to ‘formal’ reasonableness in western culture was connected to the ‘parsimonious’ way of life lead by the ‘Calvinists – rigid Christians’ successfully driven ‘religion’ convictions in the public eye swore off any common extravagance for delight of the ’tissue’ as the ‘Calvinists’ accepted that God had pre-ordained those that were ‘devoted’ to god to be conceded a spot in paradise as an ‘Choose’, yet to be the anointed one, make a solid effort to end up being honest and ‘dedicated’ to god will decide if one was sufficiently commendable to be an ‘choose’ (Weber, 1904). Thusly, the ones who worked more earnestly and driven a feeling less ‘plain’ life acquired ‘signifies to-end’ however their ‘hard-procured gain’ was not for ‘narcissism’ if one had any desire to be picked as an ‘choose’. Weber (1904) contended that as the ‘Calvinists’ way of life was predominately in the west, consequently ‘free enterprise’ created and ruled the West with the primary point of ‘gain’ through difficult work prompted expanded innovation ‘gain’ in regulatory tasks with dismissal for human feelings or longing for common delights, subsequently, the ‘Calvinists’ were among the main business people that develop to overwhelm the western way of life with comparable qualities of ‘gain’ (Weber, 1904).

Weber (1904) summed up his work by supporting ‘formal soundness’ to be the reason for ‘administrative’ advancement in the western social orders that helped the development of ‘private enterprise’ as Weber (1904) stressed that the qualities were comparative in ‘entrepreneur’ and the ‘Calvinist’ ways of life which in the long run prevailed with regards to supplanting ‘considerable judiciousness’ with ‘formal levelheadedness’ in the contemporary western world.

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