Discussion#3

 

Read the following articles. Provide three important points you took from each article:

New Antibiotic for Complicated Urinary Tract Infections (2017)
Ondansetron: Relief from nausea and vomiting (2018)
Epilepsy: An electrical storm in the brain (2019)

Treatment in a Tertiary Intestinal Rehabilitation Center Improves Outcome for Children with Short Bowel Syndrome (2018)
Autism spectrum disorder in primary care (2019

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You must provide a complete APA reference for one of the articles and reply to one peer. Initial posts must be no less than 250 word

Use this as an example DO NOT COPY
New Antibiotic for Complicated Urinary Tract Infections (2017)

Vabomere, a combination of meropenem and vaborbactam, is a new antibiotic indicated for the treatment of adults with complicated urinary tract infections (cUTI), including pyelonephritis.
Enterobacter species organisms are often resistant to multiple drug therapies, making Enterobacter-related infections difficult to treat. These bacteria can also spread mobile drug resistance elements to other bacteria, increasing the prevalence of multidrug-resistant organisms.
The most common adverse effects of Vabomere, occurring in at least 3% of patients, are headache, phlebitis/infusion site reaction, and diarrhea.

Ondansetron: Relief from nausea and vomiting (2018)

Ondansetron is currently listed as one of the Word Health Organization’s essential medications, which means that it treats a priority health need, is cost effective, and demonstrates evidence of efficiency and patient safety.
Ondansetron blocks the serotonin receptors at the vagal nerve terminals in the intestines, which blocks transmission to the central nervous system where post-op nausea is coordinated by the vomiting center.
Although there are no monitoring parameters for liver function tests, it’s advised to use this drug with caution in patients who have liver disease because it can lead to toxicity.

Epilepsy: An electrical storm in the brain (2019)

It’s also one of the oldest medical conditions recognized, with records of epilepsy dating all the way back to 4000 BCE.
Automatisms occur with focal seizures and include repetitive purposeless behaviors, such as chewing, picking at clothing, clapping or rubbing hands together, and lip smacking. These behaviors have been mistaken for mental illness in some patients.
A second and more severe complication is sudden unexpected death in epilepsy (SUDEP), which occurs for an unidentified reason. According to the Epilepsy Foundation, 1 out of 1,000 adults and 1 out of 4.500 children with epilepsy will die as a result of SUDEP each year.

Treatment in a Tertiary Intestinal Rehabilitation Center Improves Outcome for Children with Short Bowel Syndrome (2018)

The most common cause of intestinal failure in children is short bowel syndrome (SBS), a condition caused by an extensive surgical resection for diseases such as necrotizing enterocolitis, midgut volvulus, gastroschisis, and small intestinal atresia.
Current management of SBS aims to facilitate and promote gut adaptation, wean patients from PN as soon as possible, and prevent life-threatening complications as determined earlier.
Moreover, for a positive outcome, it is of outmost importance to recognize children with poor prognostic determinants early and to ensure the highest level of future care.

Autism spectrum disorder in primary care (2019)

The American Academy of Pediatrics (AAP) recommends every child has an ASD-specific screening at 18 and 24 months of age.
In typically developing children, separation anxiety emerges around 9 months, and crying when taken away from the parent is a reassuring sign that the child is developing attachments. Children with ASD may be inconsolable in a noel environment or with a change in routine, even in the presence of parents.
Although some young children have trouble with articulation, children with ASD have trouble with speech prosody: intonation (monotone), rhythm, rate, pitch, volume, and quality of sound (nasal).

 

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Solution

Discussion#3

A new antibiotic has been formulated to treat complicated cases of urinary tract infections.

Vabomere, which is a combination of vaborbactam and meropenem, is the new antibiotic that has been proven to be effective in the treatment of complicated urinary tract infections such as pyelonephritis.

Vabomere has also been found to be effective against Klebsiella pneumoniae, Escherichia coli, and Enterobacter cloacae species, especially in cases where such bacteria are resistant to other antibiotics.

Among patients suffering from complicated urinary tract infections, Vabomere should therefore be administered through IV infusion every 8 hours. Every dose of the drug is therefore administered in three hours.

 

Ondansetron is one of the most effective antiemetic medications for both adults and children presently.

Ondansetron is used for vomiting and nausea as a result of gastroenteritis or postoperatively due to chemotherapy.

Ondansetron is considered one of the essential medications by the World Health Organization because of its high efficacy, low cost, and lack of severe side effects on patients.

 

Epilepsy is a prevalent neurologic diseases in the world, with at least 50 million people globally having epilepsy and at least 3.4 million suffering from epilepsy in the US, according to the CDC.

Epilepsy is characterized by recurrent seizures and is one of the most common neurological conditions that nurses encounter in healthcare environments.

The goal for the management of epilepsy in patients should therefore include preventing or stopping seizures through antiepileptic drugs or surgery such as focal resection, among others.

 

Short bowel syndrome (SBS) is one of the central causes of intestinal failure in children.

Most of the patients with SBS rely on long-term parenteral nutrition that can cause complications such as intestinal failure and thrombosis.

The treatment of patients with SBS in referral centres can be of great benefit to such patients due to the availability of a multidisciplinary team that can be effective in intestinal rehabilitation.

Autism spectrum disorder (ASD) is characterized by deficits in social interaction, social communication, restricted and repetitive patterns of activity of interest and behavior.

ASD surveillance is important in primary care environments to allow room for early interventions

In the US, surveillance for ASD among children is therefore recommended, especially through developmental surveillance.

 

References

 

Aschenbrenner, D. S. (2017). New Antibiotic for Complicated Urinary Tract Infections. AJN, American Journal of Nursing, 117(12), 22–23. https://doi.org/10.1097/01.naj.0000527483.55997.0a

Levy, S. E., Wolfe, A., Coury, D., Duby, J., Farmer, J., Schor, E., van Cleave, J., & Warren, Z. (2020). Screening Tools for Autism Spectrum Disorder in Primary Care: A Systematic Evidence Review. Pediatrics, 145(Supplement_1), S47–S59. https://doi.org/10.1542/peds.2019-1895h

Perkins, A. (2019). Epilepsy. Nursing Made Incredibly Easy!, 17(4), 42–50. https://doi.org/10.1097/01.nme.0000559583.43254.ab

Saathoff, A. (2018). Ondansetron. Nursing Made Incredibly Easy!, 16(3), 25–27. https://doi.org/10.1097/01.nme.0000531883.32144.93

Vugrinec Mamić, M., Hojsak, I., Mišak, Z., Kerman, V., & Kolaček, S. (2019). Treatment in a Tertiary Intestinal Rehabilitation Center Improves Outcome for Children With Short Bowel Syndrome. Gastroenterology Nursing, 42(2), 165–168. https://doi.org/10.1097/sga.0000000000000324