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Please write a paragraph responding to the discussion bellow. Add citations and references in alphabetical order.
1. Mucor is a mold found in soil, plants, manure, decaying fruits, vegetables and as a common contaminant of stored and processed food in the kitchen.( Mold and bacteria consulting laboratories). Mucormycosis is a serous but rear fungal infection caused by a group of mold called mucormycetes.( CDC). According to CDC, there are five clinical forms of mucormycosis but the most common one is Rhinocerebra mycormycosis which occur mostly in diabetic patient, nutropenic cancer patients and hematopoietic stem cell transplant or solid organ transplant recipients and pulmonary mycormycosis.
Similarly, other things that can put people at risk of developing mycormycosis according to CDC are prolonged corticosteroid therapy; skin trauma, burns, or surgical wounds; iron overload; intravenous drug use; malnourishment and premature infants.
Patients is likely to get infected with mucor “through inhalation, inoculation, or ingestion of spores from the environment.”(CDC).
When the spore is inhaled, it travel tthrough the alveoli and bronchioles of the lungs causing inflammation and pneumonia with clinical manifestation of fever, cough, chest pain and dyspnea.
Furthermore, medical treatment is with antifungal medication usually, Amphotericin B, Posaconazole or Isavuconazole. Surgery may also be required to cut affected tissue (CDC). Nursing intervention that will be helpful to patient include monitoring of vital signs and laboratory result adminitration of oxygen when needed, and keeping accurate record of intake and output.
2. llaboratory result The white blood count (WBC) is high 15,200 this shows that patient have infection secondary to inhalation of mucor which may have spread inside the body causing infection. Arterial blood gas is abnormal with high PH 7.50 , PaC02 is 25 and PaCO3 25. The three ABG shows alkalosis. The patient has respiratory alkalosis secondary to hyperventilation. Patient SPO 59 room air is low , oxygen should be given to increase the level and enhance respiration.
3. Medication and medical treatment.
Three mdications for the treatment of mycormycosis are;
Amphotericin B, Posaconazole or Isavuconazole (CDC). These medication attack the structure of and function of fungal cells.They inhibit the DNA synthesis of fungus there by preventing from spreading. Amphotericin binds fungal cell membrane and leaking cellular content. Surgery may also be required to cut away the affected tissue (CDC).
Finally, controlling immunocompromising condition should be attempted (CDC).
References.
Center for Disease Control and Prevention. Information for healthcare professionals about mycormycosis. Retrieved from.
