Treatment for Strep Throat case study

Strep Study Case 2 Assessment: Both tonsils are noted to be erythematous and inflamed. There are exudates present bilaterally, as well as palatal petechiae. Patients temperature is slightly elevated at 101.1 (oral). Patient has also had a decrease appetite for the past 2 days and complains of throat pain. Plan: To treat patient with a 10-day course of Amoxicillin as it’s the drug treatment recommended for a positive rapid detection test for Group A beta hemolytic streptococcus. For the high temperature the patient can take over the counter Advil (Ibuprofen) Giv2.5mLs by mouth every 6 to 8 hours as needed for pain and fever less than 102.5F. Give 5mL by mouth every 6-8 hours as needed for pain and fever greater than 102.5F (Vallerand, Deglin, Sanoski, 2017). Pharmacologic: 1. Amoxicillin - Category: Anti-infective; Subcategory: Aminopenicillin (Vallerand et. al., 2017, p. 144) 2. Azithromycin - Category: Anti-infective; Subcategory: macrolide (Vallerand, Sanoski, & Deglin, 2017, p. 1003) Provide rationale: Due to patients age, amoxicillin would be a better option in this scenario as it’s the first drug choice for children. Amoxicillin is also cost effective, easy administration and low risk. Also, important to consider is that amoxicillin’s bioavailability and less diarrheal side effects. Amoxicillin 25mg/kg two times daily for 10 days will be prescribed due to it tastes better in suspension form that Penicillin. If high temperature persist patient is to take the abovementioned doses of Advil. Non Pharmacologic. 1. Samantha will have to stay home from elementary and can return after 24 hours of treatment with antibiotic. 2. No sharing drinks or utensils between parent and child or any other family members 3. Wash hands frequently 4. Replace Samantha’s toothbrush to prevent the recontamination of the bacteria 5. Take all medication as ordered and measure precisely using syringe provided by pharmacy and not a spoon. Diagnostics: positive rapid strep test Follow Up : Return to office if there is no improvement in three days, report to office signs and symptoms of allergic and adverse reactions such as nausea, vomiting, diarrhea, yeast infections, rash, urticaria (welts, severe itching, swelling), serum sickness, anaphylaxis, Clostridium Difficile (frequent, loose, foul smelling bowel movements), seizures. (Vallerand, Deglin, & Sanoski, 2017