Based on the symptoms,
Differential diagnoses for the boy includes:
- Rocky Mountain Spotted Fever (RMSF) owing to his recent visit to Florida
- Meningitis
Course of treatment:
- The patient needs to be admitted
- Diagnostic tests including CBC, cultures of both blood and CSF to rule out meningitis should be done
Explanation:
Initial line of treatment with loading dose of doxycycline at 2.2 mg/kg and ceftriaxone at 100 mg/kg/day can be started.
RMSF is a contagious disease caused by ticks and is predominant in the southeastern regions of the United States like North Carolina. So the boy could have got the disease from his visit to N. Carolina. Doxycycline is a broad spectrum antibiotic is the most preferred treatment of choice for RMSF
Meningitis is a bacterial disease affecting the brain. Ceftriaxone is the treatment of choice for empirical treatment of meningitis.
Since the boy’s symptoms like fever, headache, petechial rashes etc are symptomatic of both RMSF and meningitis, both the antibiotics should be administered initially.
Then depending upon the culture results, other specific antibiotics and treatments can be started.
Answer:
Drugs are labeled to unequivocally determinate their drug/pharmaceutical compounds, doses, declared strength and prospects, thereby giving to the patient concise data that ensure a correct medication.
The errors occurred during drug labeling may be due to professional negligence or errors in the print process. Regardless the cause, these errors must be immediately communicated to the competent government organisms (such as for instance, the Food and Drug Administration in the US), and the public in general, it in order to avoid damages to the patients that could be occasioned by its use. Error reporting should be considered to be independent of economical issues and pharmaceutical commercial interests because it can save lives and improve patient safety, which are the first objectives to be pursued by drug manufacturers.
Moreover, it is important to note that the ISMP National Medication Errors Reporting Program (ISMP MERP) is an organization program that enables professionals working in health care institutions to report any labeling error.
Bruce, demetria and william - the only ones that make sense
You should use just 2 fingers for chest compressions instead of your hand so the answer would be d
Answer:
d) Use just 2 fingers for chest compressions
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