Norma Vancomycin Case Study

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Recommended Testing Lactate Level
Blood Cultures X 2 (Different Sites) - Prior to initiating antibiotics
Culture Surgical Site and Gram Stain
Complete Blood Count with Differential (CBC)
Complete Metabolic Profile (CMP)
Blood Glucose Monitoring
Prothrombin Time (PT) and International Nectrotizing Ratio (INR)
Activated Partial Thromboplastin Time (aPTT)
Urinalysis (UA) and Culture
CT Abdomen/Pelvis
Radiograph of Right Lower Extremity
The given scenario leads this writer to pursue aggressive treatment for the management of sepsis secondary to the risk of necrotizing soft-tissue infection at surgical site. In doing so, this writer deems the following diagnostic tests necessary to initiate appropriate lifesaving therapies. First, this writer recommends drawing a lactate level. A lactate level is a marker for assessing cellular hypoxia by measuring the amount of lactic acid in the body (American College of Emergency Physicians [ACEP], 2007). In addition to assessing cellular hypoxia, lactate levels are beneficial in identifying an otherwise unrecognized population of critically ill patients whom present with
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Vancomycin is considered a gold standard line of treatment for MRSA infections (Stanford School of Medicine, n.d.)Click and drag to move. In addition to Vancomycin, Zosyn IV antibiotic is recommended. Zosyn IV is a combination product consisting of a penicillin-class antibacterial, piperacillin, and a β-lactamase inhibitor, tazobactam and effective in treating a large variety of bacterial infections. Bacterial infections best treated with Zosyn are complicated skin infections, bone infections, and blood and tissue infections (WebMD,

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