Welcome dear students!
Today you are going to step into our role and take over our tasks for ten days. We are going to hand over two patients to you. Both of them have cystic fibrosis. As a result of this they suffer from chronic lung infections, and so they need continuous antibiotic therapy. Consequently, they come to us regularly at the cystic fibrosis center of the University Medical Center Schleswig-Holstein. You are now going to take over treatment of the two patients on Day 0 (admission), Day 5 and Day 10. As you are new here, this treatment tool will accompany you during the ten days!
Good luck! But keep in mind that our goal here is not to heal the patients, but to help them feel well.
So, let’s begin with Day 0, the day of admission, and receive these two patients:
Lilly was diagnosed with cystic fibrosis in early childhood. For about the last five years she has been suffering from a chronic lung infection with Pseudomonas aeruginosa. Otherwise she has not yet shown any symptoms of cystic fibrosis and has no accompanying illnesses. She does not tolerate ciprofloxacin (nausea, skin rashes).
In Bjarne’s case cystic fibrosis was diagnosed at the age of three, as he often suffered from bronchitis at that time. For the past 25 years he has been suffering from a chronic lung infection, caused mainly by Pseudomonas aeruginosa. He suffers from a chronic cough with sputum and as a result of the cystic fibrosis has also developed diabetes.