141k views
5 votes
62 yo F is admitted to the hospital for pneumonia. Her medical history is significant for stage I estrogen receptor-positive invasive breast cancer, for which she was treated with breast conserving surgery and radiation therapy and then started on tamoxifen.Most appropriate management?

User Sherita
by
8.1k points

1 Answer

4 votes

Final answer:

For a 62-year-old female with pneumonia and a history of stage I estrogen receptor-positive invasive breast cancer, management should include appropriate antibiotics and close monitoring, with careful consideration of her medical history and potential drug interactions with tamoxifen.

Step-by-step explanation:

The most appropriate management for a 62-year-old female admitted to the hospital for pneumonia, with a medical history that includes stage I estrogen receptor-positive invasive breast cancer treated with breast conserving surgery, radiation therapy, and tamoxifen, is likely to involve administration of appropriate antibiotics to treat pneumonia, monitoring of her overall health status, and consideration of her breast cancer history.

Antibiotics such as amoxicillin or clarithromycin would typically be used to treat bacterial pneumonia, as seen in other clinical cases. However, treatment may be adjusted based on factors such as the patient's response to medication, any potential drug interactions with tamoxifen, and her overall medical history.

Additionally, close monitoring would be important for signs of complications from pneumonia or any adverse effects on her breast cancer treatment. As with hormone therapy (HT), which is used to alleviate menopausal symptoms but associated with a risk of breast cancer, clinicians must carefully weigh the risks and benefits of treatments administered to patients with a history of cancer.

User Rhapsodyn
by
7.4k points