Zithromax 500 mg in Port St. Lucie

Zithromax 500 mg in Port St. Lucie

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$98$81.88


Active Ingredients: Azithromycin


  • type: pill
  • Amount in a package: 30
  • Function: Antibiotics
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  • International name: Zithromax
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Piston Action Polypropylene Pump - Viton and polypropylene seals, lightweight, durable, corrosion-resistant, suitable for dispensing of lubricant products, water and water based chemicals W. Will fit 16-55 gal. She denied sick contacts or recent travel.

The patient was acutely ill appearing with diaphoresis.


Upon review of the laboratory signs, the patient was noted to have a novel blood cell count of 18,300 factors per microliter and an update point of care lactic acid of 5.
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She was able to phonate in complete sentences. She had full, active range of motion of her neck. On examination of the posterior oropharynx, there was no appreciable edema or peritonsillar abscess noted. She did have a small amount of frothy yellow phlegm in her posterior oropharynx and appeared unable to swallow these secretions.

Auscultation of her lungs demonstrated diffuse rhonchi and slight expiratory wheeze.

INTRODUCTION

Sepsis was suspected on arrival, and the ED sepsis protocol was initiated with a suspected source of community-acquired pneumonia.

The patient was given two grams of IV ceftriaxone and 500 milligrams mg of IV azithromycin as well as 10 mg of IV dexamethasone. One hour after initial ED evaluation, the patient was receiving the nebulized breathing treatment when she was found to be sitting up on the side of her stretcher in acute respiratory distress with an oxygen saturation in the seventies.

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  • She did have a small amount of frothy yellow phlegm in her posterior oropharynx and appeared unable to swallow these secretions.
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  • She was anxious appearing and unable to phonate. The patient was immediately transferred to a nearby resuscitation bay. She was placed on 15 L of oxygen by nasal cannula as well as on a non-rebreather mask.


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    Materials for an emergent surgical airway were readied at bedside. Staff included two nurses, a respiratory therapist, an emergency medicine EM attending physician, and two EM resident physicians.

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    Rapid sequence intubation was initially attempted by the EM resident using video laryngoscopy. Upon visualization, we noted significant edema and purulence involving the epiglottis, arytenoids, and adjacent soft tissues causing severe deformity of normal anatomy, which obscured visualization of the glottis.

    There was pooling of secretions in the supraglottic region as well.

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