DX 2: J02.0- Streptococcal pharyngitis less likely due to negative rapid antigen swab test. Considered as a differential diagnosis due to clinical symptoms like sore throat and rhinitis (CDC,2017). DX 3: B97.4 - Respiratory Syncytial Virus Infection less likely due to negative RSV testing. Considered has a symptom due to congestion, rhinitis and fever (AAP, 2019). Primary Diagnosis Influenza Type B J10.1 -Confirmed due to due to symptoms of patient like fever, chills, sore throat, rhinitis and congestion in physical examinations and confirmed by positive Lab test for Influenza virus (AAP ,2019). Plan/Therapeutics Preventing Flu at and School Find out about plans your child’s school, child care program, or college has if an outbreak of flu or another illness occurs and whether flu vaccinations are offered on-site (CDC,2017). Make sure your child’s school, child care program, or college routinely cleans frequently touched objects and surfaces, and that they have a good supply of tissues, soap, paper towels, alcohol- based hand rubs, and disposable wipes on-site (USPFT,2016). Ask how sick students and staff are separated from others and who will care for them until they can go home (CDC,2017). Non-Pharmacological /Education to patient and family members.
Pediatric SOAP Note Educated to get plenty of rest, drink plenty of liquids (USPFT,2016). Avoid close contact with others to prevent spread of infection. Children and teenagers with flu symptoms (particularly fever) should avoid taking aspirin during an influenza infection (especially influenza type B ), because doing so can lead to Reye's syndrome , a rare but potentially fatal disease of the liver (USPFT,2016). The single best way to prevent seasonal flu is to get vaccinated each year, but good health habits like covering your cough and washing your hands often can help stop the spread of germs and prevent respiratory illnesses like the flu (CDC,2017). Educate family members that influenza virus is best treated with antiviral drugs can be used to treat your illness. Antiviral drugs are different from antibiotics. They are prescription medicines (pills, liquid or an inhaled powder) and are not available over-the-counter (Woo & Robinson, 2016). Antiviral drugs can make illness milder and shorten the time you are sick. They may also prevent serious flu complications . For people with high risk factors (CDC,2017). Pharmacological management Oseltamivir Phosphate capsule 75mg one tablet orally for 10 days. Initiate within 48 hours of exposure (Woo & Robinson, 2016). Tylenol 160mg take one tablet by mouth orally every 4 hours as needed for fever (Woo & Robinson, 2016). Sudafed syrup take 2 teaspoon 10ml by mouth, every 4hours as needed for nasal decongestion
Pediatric SOAP Note and sinus pressure (Woo & Robinson, 2016).
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- Summer '17
- productive cough