NURS 5334 Antimicrobial Case Study ~ The University of Texas at Arlington

Running head: ANTIMICROBIAL CASE STUDY 1




Antimicrobial Case Study

The University of Texas at Arlington

College of Nursing and Health

Innovation




In partial fulfillment of the requirements of

Advanced Pharmacology (NURS 5334)

Mary Davis, DNP, MSN, ANP-BC, ADM-

BC May 26, 2018

, ANTIMICROBIAL CASE STUDY 2


5334 CASE SUMMARY TABLE
Symptoms: List two pertinent signs and symptoms or risk factors


• Large swollen tonsils with white exudates and noted petechiae (Centers for

Disease Control and Prevention [CDC], 2018)
• Fever and enlarged cervical lymph nodes (CDC, 2018).


• Recommended Drugs:
List three recommended drugs as indicated for this diagnosis


1. Amoxicillin (Halloran, 2013)
2. Azithromycin (Halloran, 2013)
3. Cephalexin (Halloran, 2013)


• Drug Categories and Subcategories:
Identify the category of each recommended drug


1. Amoxicillin - Category: Anti-infective; Subcategory: Aminopenicillin

(Vallerand et. al., 2013, p. 144)
2. Azithromycin - Category: Anti-infective; Subcategory: macrolide (Vallerand,

Sanoski, & Deglin, 2013, p. 1003)
3. Cephalexin - Category: Anti-infective; Subcategory: 1st generation

cephalosporins (Vallerand et. al., 2013, p. 144)



• Choose antibiotic from the above three recommended drugs to treat identified
disease

• Amoxicillin
• Rationale
Provide rationale, clinical guidelines, or evidence for the antibiotic selected as drug of
choice


Patient presents with signs and symptoms which are indicative of Group A beta-
hemolytic streptococcus (GABHS) pharyngitis including sore throat, fever, malaise,
stomach and headache, enlarged cervical lymph nodes, erythematous tonsils with