Mr. M Case Study

Mr. M is a 61-year-old male that presented to your outpatient clinic for a follow-up visit after being diagnosed with acute exacerbation of COPD. Patient reports that he is feeling better, however continues to endorse productive cough with clear sputum. Patient reports that he has been taking Doxycycline 100mg twice a day for the past one month. He reports taking Augmentin about two months prior to starting Doxycycline and had to stop because he started having diarrhea which has persisted for the last three months. He confirms not completing the Doxycycline prescription due to the diarrhea and insomnia. He has also been taking Benadryl 50mg every night for sleep. He stated that the Benadryl has helped with sleep; however, it makes him drowsy in the morning and he has noticed that he is not able to empty his bladder fully when he goes to the bathroom. Mr. M is concerned about these medical issues as he presents to your outpatient clinic. His medical history includes Diabetes Mellitus type 2, Hypertension, Hyperlipidemia, and COPD.

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After your readings on antibiotic stewardship, answer the following questions thoughtfully, using citations from the article and the CDC website

Do you think Mr. M should have received multiple antibiotics for COPD in the last three months? What are some of the factors that make Mr. M at risk for antibiotic resistance from his history?
What diagnostic tests do you believe should be done that would have helped the practitioner identify the organism causing the infection and guide the proper use of antibiotics?
Discuss the other disease processes Mr. M is at risk for due to having multiple antibiotics in the last few months.
As the nurse practitioner taking care of Mr. M, what patient education would you provide on