wk 3 discussion.docx - Is there any additional subjective or objective information you need for this client Explain Subjective\/objective Information I

wk 3 discussion.docx - Is there any additional subjective...

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Is there any additional subjective or objective information you need for this client? Explain.Subjective/objective Information: I would like to know his vital signs and social history including his working environment, does he smoke? Does he use any OTC medicine for the cold? I also would like to ask about the pain over cheek and radiating to frontal region or teeth, increasing with straining or bending down, redness of nose, checks, or eyelids. Check the rednessof nose, cheeks, or eyelids; tenderness to pressure over the floor of the frontal sinus immediately above the inner canthus; referred pain to the vertex, temple, or occiput; persistent coughing or pharyngeal irritation, facial pain, and hyposmia (Brook, 2018). Would you treat Mr. JDs cold? Why or why not?Patient’s 2-week history of productive cough with green mucous and green nasal discharge; low-grade temperature; intermittent frontal headache; pharynx is erythematous with no exudate; thereis greenish postnasal drainage; turbinates are swollen and red; frontal sinus tenderness; no cervical adenopathy, and lungs are clear bilaterally. These symptoms can happen with a cold. Butif they continue for more than 10 days, indicate a sinus infection. It looks like that patient’s initial symptom was due to viral infection, antibiotics should not be prescribed since viral infections of the respiratory system are mostly self-limiting. If the infection does not disappear with time and become more severe, then antibiotics like amoxicillin can be prescribed. This is because the viral infection of the patient may have been co-infected by bacterial infection (Pynnonen, Lynn, Kern, & Davis. (2015).What would you prescribe and for how many days? Include the class of the medication, mechanism of action, route, the half-life; how it is metabolized in and eliminated from the body; and contraindications and black box warnings.-Antibiotics are the first-line treatment for bacterial sinusitis. I would like to prescribe him amoxicillin 500 mg every 8 hours for 10-14 days. Amoxicillin belongs to the penicillin class of antibiotics and it causes cell wall death by inhibition of cell wall biosynthesis.
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  • Winter '16
  • amoxicillin, nasal congestion, Sinusitis, Upper respiratory tract infection

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