Penicillin

 

Mr. Y is receiving penicillin for the first time. He was diagnosed with gonorrhea. He is to receive the parenteral form of the drug penicillin G. You are the nurse responsible for his care.

Mr. Y states that he has never received penicillin before. Is he at risk of developing a reaction with this first dose?

Mr. Y asks why he needs an injection. He would like the PO form because he does not want to have an injection. How should you respond?

 

Sample Solution

Penicillin

Penicillin is a group of antibiotics which includes penicillin G, penicillin V, procaine penicillin, and benzathine penicillin. Penicillin is given to patients with an infection caused by bacteria. Some bacterial infections that may be treated with penicillin include pneumonia, strep throat, meningitis, syphilis, and gonorrhea. The most common reaction to oral penicillin are nausea, vomiting, epigastric stress, diarrhea, and black hairy tongue. The hypersensitivity reactions reported are skin eruptions, urticarial and other serum-sickness like reactions, laryngeal edema, and anaphylaxis. Penicillin shot can make you have headache, dizziness, drowsiness, muscle or joint pain, swelling, bruising, or a hard lump where an injection was given. Gonorrhea is usually treated with a short course of antibiotics. In most cases, treatment involves an antibiotic injection followed by 1 antibiotic tablet. It’s sometimes possible to have another antibiotic tablet instead of an injection, if you prefer.

 

Countless times over, we have seen incidents regarding the rise and fall of countries that base their economy, as well as domestic currency, on oil: Algeria, Venezuela, Nigeria, Iran, Indonesia, and many more. Most countries such as these, after resource booms, cannot stabilize their economy, and fall victim to Dutch Disease. The sheer appreciation of wages and domestic currency yields a field in which exports become uncompetitive and cause damage to other industries such as agriculture and manufacturing; this renders countries de-industrialized (Mohamed). Countries with exceptionally large oil exports can rarely escape this curse of plenty. They fail to make steps to reform their oil dependence, and instead, plunge headfirst into a sudden (yet predictable) violent political, economic, and social upheaval, as seen currently in Venezuela. However, one country within OPEC has managed to keep its head above the oil. Despite oil prices plummeting, poor national perception regarding Yemen, as well as the murder of Jamal Khashoggi, Saudi Arabia still makes and maintains massive profit margins as it only costs them $9 USD to produce a single barrel (WSJ News Graphics). This begs the question: What makes Saudi Arabia any different than these other countries, who have seemingly doused their economies, citizens, governments, and domestic currency in crude oil, lit a match, and set themselves ablaze? Why is it that now, in a time when oil prices are steadily dropping, Saudi Arabia can function with oil prices so low, and how does the volatility of oil affect Saudi Arabia’s environment domestically and geopolitically?

Oil prices have been dropping in response to a large production output and a weaker global demand (International Energy Agency). However, this is not the sole reason; oil has also been known to drop in response to political climates as well. With regards to exports, Yemen should not be someone of unique importance on a global oil scale; Yemen only produces 133,000 barrels of oil a day which is 0.1% of global generation (Johnston). However, Yemen is geographically positioned in a way that exerts power with regard to the very core of the industry of oil. Neighboring Yemen’s southern coastal city, Aden, is Bab el-Mandeb. These straits, of which are located at the opening of the Red Sea, are known

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