Mr. JD is a 24-year-old who presents to Urgent Care with a 2-week history of cough and
congestion. He says it started out as a "normal cold" and it will not go away. He has a productive
cough for green mucous and has green nasal discharge. He says he has had a low-grade
temperature for the past 2 days. John reports an intermittent frontal headache with this cold. He
is otherwise healthy, with no known allergies.
In his assessment it is found that his vital signs are stable, temperature is 99.9 degrees F,
tympanic membranes (TMs) are clear bilaterally, pharynx is erythematous with no exudate; there
is greenish postnasal drainage; turbinates are swollen and red; frontal sinus tenderness; no
cervical adenopathy,
Is there any additional subjective or objective information you need for this client?
Explain. I would inquire about medications he has taken recently, and if anything helped
alleviate or make symptoms better. I would inquire about any medical history past or present and
other symptoms such as SOB or wheezing, sore throat and or earache. I would inquire about
whether he smokes. According to Mayo Clinic (2018), Most people recover from a common cold
in a week or 10 days, but symptoms might last longer in people who smoke.
Would you treat Mr. JDs cold? Why or why not? Because Mr. JDs’ symptoms have persisted
for 2 weeks without getting better, yes, I would treat. It sounds like Mr. JD has a common cold
which is caused by a virus, that has been complicated by a possible bacterial sinus infection.
According to Mayo Clinic (2018), There is no cure for the common cold and antibiotics are of no
use against cold viruses. Only if there is indication of a bacterial infection should antibiotics be
used. Treatment is directed at alleviating symptoms (Mayo Clinic, 2018). Because of the
greenish postnasal drainage, swollen and red turbinates’ and frontal sinus tenderness, antibiotics
many be indicated for possible bacterial infection of the sinus.
What would you prescribe and for how many days? Include the class of the medication,
mechanism of action, dosage, route, the half-life; how it is metabolized in and eliminated
from the body; and contraindications. After confirming again that he has no allergies or
sensitivities to any medications, or medical issues such as liver or kidney disease, I would treat
Mr. JD with Augmentin. The usual adult dose is one 500-mg tablet of AUGMENTIN every 12
hours or one 250-mg tablet of AUGMENTIN every 8 hours. For more severe infections and
infections of the respiratory tract, the dose should be one 875-mg tablet of AUGMENTIN every
12 hours or one 500-mg tablet of AUGMENTIN every 8 hours. For Mr. JD I would also suggest
OTC decongestant, ibuprofen and a cough suppressant to help alleviate symptoms for comfort.
For the bacterial sinusitis, I would prescribe the Augmentin for 14 days. Augmentin is a
combination of amoxicillin and clavulanate potassium (drugs.com). This antibiotic belongs to
the penicillin and clavulanate is a beta lactamase inhibitor, which helps to prevent susceptible
bacteria from becoming resistant and fights bacteria in the body. According to Drugs (2018),
congestion. He says it started out as a "normal cold" and it will not go away. He has a productive
cough for green mucous and has green nasal discharge. He says he has had a low-grade
temperature for the past 2 days. John reports an intermittent frontal headache with this cold. He
is otherwise healthy, with no known allergies.
In his assessment it is found that his vital signs are stable, temperature is 99.9 degrees F,
tympanic membranes (TMs) are clear bilaterally, pharynx is erythematous with no exudate; there
is greenish postnasal drainage; turbinates are swollen and red; frontal sinus tenderness; no
cervical adenopathy,
Is there any additional subjective or objective information you need for this client?
Explain. I would inquire about medications he has taken recently, and if anything helped
alleviate or make symptoms better. I would inquire about any medical history past or present and
other symptoms such as SOB or wheezing, sore throat and or earache. I would inquire about
whether he smokes. According to Mayo Clinic (2018), Most people recover from a common cold
in a week or 10 days, but symptoms might last longer in people who smoke.
Would you treat Mr. JDs cold? Why or why not? Because Mr. JDs’ symptoms have persisted
for 2 weeks without getting better, yes, I would treat. It sounds like Mr. JD has a common cold
which is caused by a virus, that has been complicated by a possible bacterial sinus infection.
According to Mayo Clinic (2018), There is no cure for the common cold and antibiotics are of no
use against cold viruses. Only if there is indication of a bacterial infection should antibiotics be
used. Treatment is directed at alleviating symptoms (Mayo Clinic, 2018). Because of the
greenish postnasal drainage, swollen and red turbinates’ and frontal sinus tenderness, antibiotics
many be indicated for possible bacterial infection of the sinus.
What would you prescribe and for how many days? Include the class of the medication,
mechanism of action, dosage, route, the half-life; how it is metabolized in and eliminated
from the body; and contraindications. After confirming again that he has no allergies or
sensitivities to any medications, or medical issues such as liver or kidney disease, I would treat
Mr. JD with Augmentin. The usual adult dose is one 500-mg tablet of AUGMENTIN every 12
hours or one 250-mg tablet of AUGMENTIN every 8 hours. For more severe infections and
infections of the respiratory tract, the dose should be one 875-mg tablet of AUGMENTIN every
12 hours or one 500-mg tablet of AUGMENTIN every 8 hours. For Mr. JD I would also suggest
OTC decongestant, ibuprofen and a cough suppressant to help alleviate symptoms for comfort.
For the bacterial sinusitis, I would prescribe the Augmentin for 14 days. Augmentin is a
combination of amoxicillin and clavulanate potassium (drugs.com). This antibiotic belongs to
the penicillin and clavulanate is a beta lactamase inhibitor, which helps to prevent susceptible
bacteria from becoming resistant and fights bacteria in the body. According to Drugs (2018),
