WGU Nursing Case Study

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Health Medical

WGU

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This assignment requires a current, evidence based practice guideline that is specific to the child in the following scenario. This assignment will require analysis and evaluation of the treatment guideline along with basic knowledge of pharmacotherapeutics. You will be given a case study involving a 5-year-old child with an acute illness presenting in primary care and be expected to answer a selected number of questions. This assignment includes a prepared table to help categorize the requested information. Case Study: A 5-year-old male is brought to the primary care clinic by his mother with a chief complaint of bilateral ear pain with acute onset that began “yesterday.” The mother states that the child has been crying frequently due to the pain. Ibuprofen has provided minimal relief. This morning, the child refused breakfast and appeared to be “getting worse.” Vital signs at the clinic reveal HR 110 bpm, 28 respiratory rate, and tympanic temperature of 103.2 degrees F. Weight is 40.5 lbs. The mother reports no known allergies. The child has not been on antibiotics for the last year. The child does not have history of OM. The child is otherwise healthy without any other known health problems. Physical examination reveals: Vital signsl HR 110 bpm, 28 respiratory rate, and tympanic temperature of 103.2 degrees F. Weight is 40.5 lbs. Bilateral TMs are bulging with severe erythematous. Pneumatic otoscopy reveals absent mobility. Ear canals are nomal. After your questioning and examination, you diagnose this child with bilateral Acute Otitis Media. According to the current guidelines on medications for a 5 year old with Acute Otits Media (AOM), address the following: Reference Pediatrics: Official Journal of the American Academy of Pediatrics. (2013). The Diagnosis and Management of Acute Otitis Media. Retrieved from https://pediatrics.aappublications.org/content/pediatrics/131/3/e964.full.pdf Questions Should the APRN prescribe an antibiotic? If No, explain why If you decide to recommend/ prescribe medication provide a brief rationale. Give name of medication along with strength, frequency, dosage, and length of treatment. (provide citations) What Parent/Patient Education is essential? (you may use bullet format) What side effects might be expected? (you may use bullet format) What would the APRN prescribe if this child was allergic to penicillin? What determines the choice of an antibiotic ? Will you recommend or prescribe any other medications? The child returns in 48 hours with increased pain and fever. What changes will the APRN make in treatment plan?
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Case Study

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Case Study
A 5-year-old male is brought to the primary care clinic by his mother with a chief complaint of bilateral ear pain with an acute onset that
began “yesterday.” The mother states that the child has frequently been crying due to the pain. Ibuprofen has provided minimal relief. This morning,
the child refused breakfast and appeared to be "getting worse."
Vital signs at the clinic reveal HR 110 bpm, 28 respiratory rate, and tympanic temperature of 103.2 degrees F. Weight is 40.5 lbs. The mother
reports no known allergies. The child has not been on antibiotics for the last year. The child does not have a history of OM. The child is otherwise
healthy without any other known health problems.
Physical examinat...


Anonymous
Very useful material for studying!

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