T.J., a 28-year-old graduate student, just returned from an archeology internship in a third-world country. She has had severe diarrhea for several days and has been diagnosed with intestinal amebiasis. She will receive fluids for rehydration and metronidazole (Flagyl) as part of her treatment. 1. What specific laboratory test must be ordered before initiation of the metronidazole therapy? List other laboratory studies that will be performed. 2. T.J. is started on the intravenous piggyback infusions, and after a day she reports that her diarrhea has decreased and that she feels a little better. During afternoon rounds, she tells the nurse that she feels dizzy and tired, and has some nausea. She asks, “Is this because of my infection?” How will the nurse respond? 3. T.J. is discharged to home with a prescription to take the metronidazole for 2 more weeks. The nurse knows that one serious adverse effect is leukopenia. What symptoms will the nurse tell T.J. to report? 4. A week later, T.J. calls to tell the nurse that she went out to a bar with some friends and became very ill after having a drink. Explain what happened.
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