Pediatric Client with Acute Bacterial Sinusitis Course Hero.docx

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1 PEDIATRIC CLIENT WITH ACUTE BACTERIAL SINUSITIS Pediatric Client with Acute Bacterial Sinusitis Purdue Global University
2 PEDIATRIC CLIENT WITH ACUTE BACTERIAL SINUSITIS Pediatric Client with Acute Bacterial Sinusitis Clinical criteria for Acute Bacterial Sinusitis (ABS) in the pediatric population ages newborn to 21 years of age. Persistent Symptoms Criteria. Severe Onset of Symptoms Criteria. Worsening Symptoms Criteria. Age under 12 months: Cold symptoms that for longer than 10 days without improvement that includes drainage from the nose, may have swelling and puffiness around eyes and nose, a cough that worsens at nighttime, and a low-grade persistent fever above 100.4 degrees Fahrenheit (Stenner, & Rudack, 2014). Age 12 months to 21 years of age: Illness that persists for longer than 10 days without improvement that includes nasal discharge, daytime Age under 12 months: Illness that presents with a three-day history that includes nasal drainage and a temperature greater than 102.2°F on consecutive days. Age 12 months to 21 years of age: Illness that presents with a three-day history that includes nasal drainage and a temperature greater than 102.2°F on consecutive days (Wald, et al., 2013). Age under 12 months: An illness course that it improved and then became worse and/or developed symptoms of easel discharge, cough, or fever. Age 12 months to 21 years of age: An illness course that it improved and then became worse and/or developed symptoms of easel discharge, cough, or fever (Wald, et al., 2013).
3 PEDIATRIC CLIENT WITH ACUTE BACTERIAL SINUSITIS cough or both (Wald, et al., 2013). When would imaging studies be indicated? Imaging studies or not indicated in most cases acute bacterial sinusitis or for a viral upper respiratory infection. If the patient presents with signs and symptoms indicative of orbital or central nervous systems complications then at contrast-enhanced computerized tomography scan (CT with contrast) of the sinuses is indicated (Wald, et al., 2013). Some central nervous system complications that would indicate as CT include. Orbital or intra-orbital inflammation that does not improve after 24 to 48 hours of high dose antibiotic therapy. Other signs and symptoms of the mental status changes, severe

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