fever continued for another 8 days, then an antibiotic would be indicated (Hamric, Hanson, Tracy, & O'Grady, 2014). If he did end up needing an antibiotic, I would need to know if he had a penicillin allergy. Would you treat Mr. JDs cold? Why or why not? As stated above there is currently no need to treat Mr. JD. Based on his symptoms, what he is most likely experiencing is either the result of allergies or sinusitis/rhinosinusitis which is usually caused by a simple virus. If he has the common cold virus the infection should pass in a few days with no treatment expect by over-the-counter medications to treat his symptoms. 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. If Mr. JD’s fever and other symptoms worsened or continued for a total of 10 days then I would prescribe Amoxicillin-Clavulanate 500mg/125mg 2tabs PO BID x 7 days (Gilbert, 2018). Amoxicillin-clavulanate is also known as Augmentin and is a broad-spectrum anti- infective. It is bacteriocidal and works by interfering with the bacteria’s ability to maintain the cell well causing swelling and lysis (Skidmore-Roth, 2013). Augmentin’s half-life is about 1.3 hours and the drug is metabolized in the liver and excreted mostly into the urine. The drug is contraindicated in hypersensitive patients and there is no black box warning.
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- Fall '17
- Common cold, Headache, nasal congestion, Mr. JD, NSG6005 Week 3 Discussion