Question: a 78 year old nursing home client with a history...
A 78 year old nursing home client with a history of hypertension, type 2 DM, & COPD is brought to the ER with a history of fever for 72 hours and moist cough. The end tended care nursing report states that he was very irritable last night, and then difficult to awake this morning. Assessment findings: temperature 103 F, 112 bpm HR, 100/56 BP, respirations 26 & labored, fine late respiratory crackles throughout lung fields, Glasgow coma score of 12. Chest x-ray demonstrates lung consolidation. IV fluids infusing. Other orders include to admit patient to hospital & obtain a sputum culture.
The cultured organism is sensitive to more than one organism. In this case, what other factors are considered when choosing among the effective antibiotics?
The effective antibiotics are: azithromycin, gatifloxacin, levofloxacin