Pathophysiology and Nursing Management of Clients Health - Alterations in Pulmonary and Kidney
Function
Use the image in "Discussion Question Resource: Chest X-Ray" to answer the following Critical
Thinking Questions.
Examine the x-ray of a patient diagnosed with pneumonia due to infection with Mucor. Refer to
the "Module 4 DQ Chest Xray" resource in order to complete the following questions.
Critical Thinking Questions:
1.Explain what Mucor is and how a patient is likely to become infected with Mucor. Describe the
pathophysiologic progression of the infection into pneumonia and at least two medical/nursing
interventions that would be helpful in treating the patient.
2.Examine the laboratory blood test results and arterial blood gases provided in "Discussion
Question Resource: Laboratory Blood Test Results." What laboratory values are considered
abnormal? Explain each abnormality and discuss the probable causes from a pathophysiologic
perspective.
3.What medications and medical treatments are likely to be prescribed by the attending physician
on this case? List at least three medications and three treatments. Provide rationale for each of
the medications and treatments you suggest.
Mucormycosis is a rare but highly aggressive and a fatal infection that affects
immunocompromised patients. Mucormycosis infections have increasingly become very
common. The survival of such infections is also very poor. Iron metabolism plays a very
important role in regulating mucor infections. Deferoxamine predisposes patients to
mucormycosis by supplying the fungus containing iron.From these findings, it is possible to treat
the infection by using iron chelator as long as the chelator does not supply the fungus containing
iron inappropriately. Previous information reveals that the concept of high-dose liposomal
amphotericin is the most used monotherapy for mucormycosis (Suresh, 2003). There are,
however, several other therapeutic strategies are available. The options include the combination
therapy using lipid amphotericin with an azole or an echinocandin (posaconazole or itraconazole)
or with all the three. The main principles of therapy for mucor infection remain rapid diagnosis,
urgent surgical debridement, early diagnosis, systemic antifungal treatment and reversal of
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