Chapter 24 Drugs Used in Treating Infectious Disease
Nick is a 16 year old who presents to the clinic with a sore throat, enlarged cervical lymph nodes, and a fever of 102°F. His rapid strep test is positive.
- What is the plan of care for Nick’s strep throat?
2. What education do Nick and his parents need?
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Treatment Plan for Nick, 16-Year Old with Sore Throat
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Treatment Plan for Nick, 16-Year Old with Sore Throat
Acute pharyngitis is one of the leading causes of hospital visits in the United States. According to Luo et al. (2019) the most common cause of acute pharyngitis is Streptococcus pyogenes, estimated to cause about 5-10% of sore throat infections in adults and 20-30% of sore throat infections among the children. The authors assert that though the infection can heal on their own, over 60% of the cases are treated with antibiotics so as to prevent some complications. Sore throat is diagnosed through rapid antigen detection test (RADT).
The diagnosis for Nick turned out positive for sore throat, which should be treated with antibiotic. The available antibiotics for treatment for sore throat are penicillin and amoxillin. The dosage are Penicillin 500 mg PO bid × 10 days or Amoxicillin 1,000 mg PO daily × 10 days. The prescription should be discussed with the patient in order to determine if there are any reactions towards the specific type of antibiotic. The medication is readily available and is not expensive, making it affordable for the patient. Sore throat can be uncomfortable and a lack of effective treatment may lead to other complications such acute rheumatic fever, post-streptococcal glomerulonephritis, and rheumatic heart disease (Luo et al., 2019). The parent of Nick should be advised on these dangers of sore throat and recommended to follow the dosage directions to ensure effective treatment. In addition, Nick will be contagious within the first 24 hours upon antibiotic treatment. Any symptoms of rush and hypersensitivity upon the start of antibiotic…………………………………………………………………………………………………
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