Mr. JD is a 24-year-old who presents to Urgent Care with a 2-week history of cough and congestion. He says it started out as a "normal cold" and it will not go away. He has a productive cough for green mucous and has green nasal discharge. He says he has had a low-grade temperature for the past 2 days. John reports an intermittent frontal headache with this cold. He is otherwise healthy, with no known allergies. In his assessment it is found that his vital signs are stable, temperature is 99.9 degrees F, tympanic membranes (TMs) are clear bilaterally, pharynx is erythematous with no exudate; there is greenish postnasal drainage; turbinates are swollen and red; frontal sinus tenderness; no cervical adenopathy, Is there any additional subjective or objective information you need for this client? Explain. I would inquire about medications he has taken recently, and if anything helped alleviate or make symptoms better. I would inquire about any medical history past or present and other symptoms such as SOB or wheezing, sore throat and or earache. I would inquire about whether he smokes. According to Mayo Clinic (2018), Most people recover from a common cold in a week or 10 days, but symptoms might last longer in people who smoke. Would you treat Mr. JDs cold? Why or why not? Because Mr. JDs’ symptoms have persisted for 2 weeks without getting better, yes, I would treat. It sounds like Mr. JD has a common cold which is caused by a virus, that has been complicated by a possible bacterial sinus infection. According to Mayo Clinic (2018), There is no cure for the common cold and antibiotics are of no use against cold viruses. Only if there is indication of a bacterial infection should antibiotics be used. Treatment is directed at alleviating symptoms (Mayo Clinic, 2018). Because of the
You've reached the end of your free preview.
Want to read all 3 pages?
- Fall '16
- Bacteria, Beta-lactamase, amoxicillin, Clavulanic acid