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Two questions came up on my shelf - would you mind sharing your wisdom?
1) Pt is given IV amoxicillin for PID. Three days later, no improvement. Now what? Continue, add to it, or change completely? And why? I esp want to know WHY. I think I'm missing a key ID concept here.
2) In GDM, a baby is not only large, but the organs develop "more slowly". I understand that a normal baby after 34wks will have mature lungs, but a GDM baby after 34ks may not, despite being larger than the normal baby. OK, got all of that. But why? What's the mechanism?
The answer I chose was due to increased fetal insulin production. My reasoning was that the baby's resources were being put into controling its blood sugar levels, compromising organ development.
Or could it be that glucose itself impedes development somehow?
Another answer choice was increased cortisol levels.
Thanks in advance for your help.
1) Pt is given IV amoxicillin for PID. Three days later, no improvement. Now what? Continue, add to it, or change completely? And why? I esp want to know WHY. I think I'm missing a key ID concept here.
2) In GDM, a baby is not only large, but the organs develop "more slowly". I understand that a normal baby after 34wks will have mature lungs, but a GDM baby after 34ks may not, despite being larger than the normal baby. OK, got all of that. But why? What's the mechanism?
The answer I chose was due to increased fetal insulin production. My reasoning was that the baby's resources were being put into controling its blood sugar levels, compromising organ development.
Or could it be that glucose itself impedes development somehow?
Another answer choice was increased cortisol levels.
Thanks in advance for your help.
