Antibiotics
| Day | Antibiotic | Reasoning behind choice of antibiotic | Notes on course of treatment: | Notes on the patient consultation |
| 0 | ||||
| 5 |
Laboratory values
| Parameter | Normal range | Unit | Admission | Conspicuous | Day 10 | Conspicuous |
| Erythrocytes | 4,3 – 5,75 | x 10^12/l | 4,7 | 4,6 | ||
| Leukocytes | 3,9 – 10,2 | x 10^9/l | 11,5 | 10,4 | ||
| Thrombocytes | 150 – 370 | x 10^9/l | 240 | 245 | ||
| Sodium | 136 – 145 | mmol/l | 140 | 139 | ||
| Potassium | 3,5 – 4,5 | mmol/l | 4,0 | 4,0 | ||
| Blood sugar | 2,76 – 5,89 | mmol/l | 4,3 | 4,0 | ||
| C-reactive protein (CRP) | < 5,0 | mg/l | 7,8 | < 5,0 | ||
| O2 saturation | > 94 | % | 96 | 97 |
Lung function
| Parameter | Admission | % of the norm | Conspicuous | Day 10 | % of the norm | Conspicuous |
| VC | 3,60 L | 92 | 3,59 L | 92 | ||
| FEV1 | 2,53 L | 69 | 3,13 L | 81 |
Microbiological results
Material: sputumQuery: pathogen identification
Results of culture:
| Day | Pathogens | Concentration on agar | Microbial load (cells/ml) |
| Admission | Pseudomonas aeruginosa | substantial | 2 x 10^5 |
| 5 | Pseudomonas aeruginosa | isolated | 3,5 x 10^2 |
| 10 | Pseudomonas aeruginosa | isolated | 2,8 x 10^2 |
Resistances
| Antibiotic | Admission
sensitive resistant |
Day 5
sensitive resistant |
Day 10
sensitive resistant |
| Ciprofloxacin | |||
| Gentamicin | |||
| Meropenem |
Antibiotics
| Day | Antibiotic | Reasoning behind choice of antibiotic | Notes on course of treatment: | Notes on the patient consultation |
| 0 | ||||
| 5 |
Laboratory values
| Parameter | Normal range | Unit | Admission | Conspicuous | Day 10 | Conspicuous |
| Erythrocytes | 4,3 – 5,75 | x 10^12/l | 5,7 | 5,80 | ||
| Leukocytes | 3,9 – 10,2 | x 10^9/l | 13,5 | 11,9 | ||
| Thrombocytes | 150 – 370 | x 10^9/l | 340 | 345 | ||
| Sodium | 136 – 145 | mmol/l | 140 | 138 | ||
| Potassium | 3,5 – 4,5 | mmol/l | 4,0 | 3,9 | ||
| Blood sugar | 2,76 – 5,89 | mmol/l | 6,1 | 6,2 | ||
| C-reactive protein (CRP) | < 5,0 | mg/l | 14,8 | 9,9 | ||
| O2 saturation | > 94 | % | 91 | 93 |
Lung function
| Parameter | Admission | % of the norm | Conspicuous | Day 10 | % of the norm | Conspicuous |
| VC | 3,86 L | 75 | 3,90 L | 75 | ||
| FEV1 | 2,19 L | 52 | 2,96 L | 70 |
Microbiological results
Material: sputumQuery: pathogen identification
Results of culture:
| Day | Pathogens | Concentration on agar | Microbial load (cells/ml) |
| Admission | Pseudomonas aeruginosa | dense | 8 x 10^7 |
| 5 | Pseudomonas aeruginosa | substantial | 6,7 x 10^5 |
| 10 | Pseudomonas aeruginosa | substantial | 4,2 x 10^5 |
Resistances
| Antibiotic | Admission
sensitive resistant |
Day 5
sensitive resistant |
Day 10
sensitive resistant |
| Ciprofloxacin | |||
| Gentamicin | |||
| Meropenem |
Assignment for the presentation
Today as well, medical professionals are engaged in discussion with evolutionary biologists. By researching evolutionary mechanisms in current research it is hoped to achieve an improvement in the therapies applied in medical practice.
Now prepare to present the treatment of the two patients over the past several days. Depict your course of treatment and the problems and questions which have arisen during treatment on a poster. Incorporate the ‘New findings in current research’ in the depiction as well.