Read the scenario below and provide a response to each question,…

Read the scenario below and provide a response to each question, marks identified in brackets will guide the number of points expected for each question. 
 

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Mrs Jane Phillips is a 79-year-old female diagnosed with Chronic Myeloid Leukeamia. Today, she presented to her Doctor concerned about a persistant moist, productive cough over the past 10 days. Other symptoms include: feeling tired, lethargic, lack of interest in usual activities and multiple bruises from minor bumps. The Doctor orders a series of blood tests, and orders  oral Penicillin (antimicrobial therapy) while waiting for the results.  

1. Explain the pathophysiology of why the following symptoms occur in Mrs Phillips case: bruising, lethargy and susceptible to infections (9 marks)  

2. Mrs Phillips is ordered a course of chemotherapy, what are the goals of this form of treatment? (2 marks)

3. Identify three common side effects of chemotherapy and explain why they occur (6 marks)

 

 

 

 

Read the scenario below and provide a response to each question, marks identified in brackets will guide the number of points expected for each question. 
 

Mr Roy Andrews is a 66-year-old who has been in a MVA (motor vehicle accident), resulting in numerous abrasions and several fractures. 

On presentation to the emergency department his pain score is 8/10. The MO (medical officer) has prescribed the following medications: fentanyl, oxycodone, paracetamol, ibuprofen, cefazolin and metronidazole.
 

4. List six different types of fractures (3 marks) 

5. Explain the process of bone healing, referring to the 4 different stages (6 marks)

6. Explain the rationale for using paracetamol, ibuprofen and opioid analgesics together in patients with moderate-severe pain (4 marks)

7. Identify the contributing factors for infection in Mr Andrews case and explain why (5 marks)

 

 

 

 

 

 

 

 

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