Online Case Studies Learning Activity #2: Antimicrobials Case Study Assignment
Online Case Studies Learning Activity #2: Antimicrobials Case Study Assignment
Assignment Outline
This assignment will give you the opportunity to apply your knowledge related to antimicrobials. You will be asked to complete preparation work prior to reviewing a written case study. As you work through the related knowledge application questions, additional information about this case will be provided. To complete this activity, please download this worksheet and complete the fillable spaces, working through the document in the order that the questions appear. Please submit your completed document to Dropbox by midnight Friday March 31st, 2023. You will be evaluated based on your responses on the worksheet. This assignment is worth 5% of your overall theory mark.
Patient Information
Robert is a 54-year-old male who has come into the clinic with a chief complaint of heartburn. Robert states that lately he has been experiencing more frequent heartburn, and that it is keeping him awake at night. He has been managing by using Maalox tablets as needed, but states that they only seem to help for a short while.
Upon further discussion, Robert reveals that he has dealt with occasional heartburn once or twice a week for “a few years” but has noticed increased frequency in the past couple months. He states he experiences heartburn almost daily now. Robert states the pain he feels is a burning sensation, in his sternal area. He said the pain is worse when he goes to bed and has been having trouble sleeping as a result. Robert states that “drinking a glass of milk usually helps” or that he takes Maalox. He does not complain of nausea or vomiting.
Physical examination does not reveal any abnormal findings. Robert’s abdomen is soft, non-tender with appropriate bowel sounds. Robert’s vital signs are 36.7-74-16-122/74. Robert’s height is 6’ and his weight is 125 kg.
Case Study Preparatory Work- Mini Drug Cards (1.5 marks)
| Calcium carbonate and simethicone (Maalox) | Classification: Antacids |
| Indication: low serum calcium conditions (ie. Osteoporosis, osteomalacia, hypothyrodoism, hypoparathyrodism, pregnancy, nursing mothers), hearetburn caused by gerd | |
| Assessment required: allergies, pregnancy, hypercalcemia, kidney disease, dehydration, intestinal blockage | |
| Contraindication: hypersensitivity, renal calculus, high urine calcium levels, elevated serum calcium, low serum phosphate, achlorhydria, suspected digoxin toxicity | |
| Omeprazole (Losec) | Classification: Proton pump inhibitor (PPI) |
| Indication: reflux oesophagitis, duodenal ulcer, gastric ulcer, symptoms of acid related dyspepsia, zollinger-ellison syndrome | |
| Assessment required: vital signs, neuro statu, respiratory status and gastrointestinal symptoms | |
| Contraindication: history of hypersensitivity to drug, ripilverine |
Learning Resources
Please review the following resources to assist you in completing the assignment:
Sealock, K., Seneviratne, C. (2020). Lilley’s pharmacolog