Lab.12
Problem solving
Antimicrobial
PROBLEM.1
A 20 years old manual worker
developed severe cellulitis of the hand
with
axillary
lymph
node
enlargement.Try to chose your personal
antibiotic for this patient.Would this
treatment change if the patient has
penicillin allergy?
Problem.2
A 20 years old male had gonorrhoea. Both
tetracycline and amoxycillin(with
probenecid)were prescribed for him to
be taken simultaneously. The student
should give his account on the type of
drugs used,the type of dose in treatment
of GC,and the alternative drugs that can
be used in its treatment.
Problem.3
A 40 years old lady admitted to hospital for
acute pyelonephritis. she has a history
of repeated similar attacks. On the
seventh day she developed difficulty in
hearing. Explain the possible cause of
this side effect on the basis of
pharmacokinetic alteration of the drugs
by the disease.
Problem.4
A 35 years old man presented with high
fever,headache,loss of appetite. Inspite
of regular use of paracetamol he was
still running high fever. Typhoid fever
was suspected because he has a young
sister having the disease two weeks
ago. Widal test was performed twice and
a rising titer was reported. Ciprofloxacin
was given in a dose of 500 mg twice
daily.
a. Is that a right choice?
b. What alternative drugs can be used.
c. Are the dose and duration of treatment
important?