Pharmacological management and education to patient

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 Pharmacological management and education to Patient and family
 Oseltamivir is not a substitute for early influenza vaccination on an annual basis as recommended
by the Centers for Disease Control and Prevention Advisory Committee on Immunization
Practices (CDC,2017).
 Common side effect of Tamiflu include nausea, vomiting, insomnia, night sweats, head ache, and
cough (Woo & Robinson, 2016).
Some people using oseltamivir (especially children) have had sudden unusual changes in mood or
behavior. Educate Family and patient about adverse reactions in patient with influenza can have
neurologic or behavioral symptoms. Call your doctor right away if the person using this medicine has:
 sudden confusion;
 tremors or shaking;
 unusual behavior; or
 hallucinations (hearing or seeing things that are not there).
 Educate about common side effects and adverse reaction of Sudafed like chronic insomnia head pain,
painful urination, dizziness, fatigue, poor appetite, involuntary quivering (Woo & Robinson, 2016).

Pediatric SOAP Note
Follow up Appointment
Follow up with in 2 weeks if the symptoms resolve, if the condition is getting worse come to the doctor’s
office immediately (CDC,2017).
Follow up immediately if the patient has severe adverse reaction to medications like dry cough and fatigue
for several weeks after a bout of flu. But if patient is getting better and suddenly feel worse, with fever
and rapid breathing or pulse, or pain with rapid eye movement call doctor immediately (Woo &
Robinson, 2016).
References
American Academy of Pediatrics (2019). Recommendations for Preventive Pediatric Health Care.
Retrieved from
Centers for Disease Control and Prevention. (2017). Medication safety program. Retrieved from
Coker, T. R., Windon, A., Moreno, C., Schuster, M. A., & Chung, P. J. (2016). Well-child care clinical
practice redesign for young children: a systematic review of strategies and tools. Pediatrics, 131 Suppl
1(Suppl 1), S5-25.
Woo, T. M., & Robinson, M. V. (2016). Pharmacotherapeutics for advanced practice nurse prescribers

Pediatric SOAP Note
(4th ed.). Philadelphia, PA: F.A. Davis Company
U.S. Preventive Services Task Force (Sep 2016). Screening for speech and language delay in
school children: recommendation statement. Retrieved from
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