Thursday, May 8, 2014
Indirect
You are a hospital administrator examining your patient census. Your nurse manager says that one of her patients can only be cared for by providers who are not pregnant. The patient needs a negative air pressure room with the door closed when she gets a treatment. Providers follow contact and droplet precautions and wear an N95 mask during treatment. The patient has had a bilateral lung transplant in the past for cystic fibrosis.
Next door, a patient admitted for jaundice is taking the same drug in a different formulation but does not need any of those precautions.
Challenge: What drug are we talking about?
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Indirect
This is ribavirin treatment. Aerosol inhalation is used to treat RSV infection in an immunocompromised patient. Capsule formulations are used to treat chronic hepatitis C. The medication is highly teratogenic.
Sources: UpToDate; Wikipedia.
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