Is there any additional subjective or objective information you need for this client? Explain.What OTC treatments has Mr. JD tried? Has he had this same problem in the past, if so what med was it treated with and was it effective? I would try to determine if he has had successful treatment or possibly failed therapy with past medication to treat same condition. Recent use of antibiotics is one of the leading risk factors for having a drug-resistant pathogen (Woo, 2015). Has he had similar problems at certain times of the year, suggesting seasonal allergies? Does he take any herbal supplements? It is important to know a complete list of all medications, including OTCand herbal supplements to avoid possible drug interactions when developing a treatment plan to include prescription medications.Would you treat Mr. JDs cold? Why or why not?I would treat Mr. JD for sinusitis. Based on his clinical symptoms andthe course of the illness his presentation appears to be consistent withacute sinusitis. Persistent upper respiratory infection lasting longerthan 10 days without any clinical improvement is likely to be bacterialsinusitis (Woo, 2015). He presents with symptoms consistent withsinusitis to include facial pain, purulent nasal discharge that has beenongoing for 3 to 4 consecutive days, headache, and facial tenderness,cough. Woo, 2015 reports “in adults, three symptoms have highspecificity and sensitivity for diagnosing acute sinusitis: purulentrhinorrhea, facial pain or pressure, and nasal obstruction” all of whichthis patient presents.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.The Infectious Disease Society of America (IDSA) recommends prescribing standard-dose amoxicillin-clavulanate (Augmentin) for bacterial sinusitis. Amoxicillin-clavulanate 500 mg/125 mg PO three
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- Summer '16
- Advanced practice nurse, Sinusitis, Acute Sinusitis, Upper respiratory tract infection, environmental tobacco smoke, Mr. JD