Tuesday, April 1, 2014

Question 5

5.  Your patient is a 21 year old female that presents with right flank pain, fever 102, dysuria, polyuria, with nausea and vomiting.  Lab values are as follows WBC 11.4, and remainder of CBC is normal.  BMP is normal.  Urine reveals WBC 75-100, many bacteria, nitrite positive.  Vitals are Temp 101, HR 97, BP 124/76, RR 20, Sat 100.  The patient is comfortable and pain is under control.  You have just given the patient Cipro 400 mg IV Piggy Back.  Which of the following regimens is most appropriate for this patient.?

A.  Continue Cipro 400 mg IV Piggy Back BID in Hospital awaiting cultures
B.  Bactrim DS one PO BID for 7 days
C.  Cipro 500 mg BID for 7 days
D.  Cipro 500 mg BID for 14 days

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