MSN 629
Pharmacology Case Study MSN 629
1. Pharmacological Plan: most appropriate pharmacological treatment. Consider patient’s
age, severity of symptoms, previous treatments, must include rationale, patient specific
dosing, duration of treatment, medication concentration, recommended dose.
Medication and Recommended Dose Concentration (if Route/Frequency
Rationale mg/kg/day pertinent)
1. Amoxicillin 90 mg/kg/day 1143 mg 125 mg/5 mL 381 mg orally
since the causative every 8 hours
factor of the (15.24 mL) for
pneumonia is seven days
undetermined the
child should be
treated empirically
for seven days
(Barson, 2024).
2. Acetaminophen 15 mg/kg/dose 190.5 mg per 160 mg/5 mL 190.5 mg orally
should be used to not to exceed dose every 4-6 hours
treat fever 75mg/kg/day as needed for
(Barson, 2024). fever (5.9 mL)
not to exceed
952 mg in a 24-
hour period.
3. Ibuprofen 10 mg/kg/dose 127 mg per dose 100 mg/5 mL 127 mg orally
should be used for not to exceed every 6-8 hours
pain control to 40 mg/kg/day as needed for
promote airway pain (6.4 mL)
clearance (Barson, not to exceed
2024). 508 mg in a 24-
hour period.
2. Comprehensive plan incorporating pharmacological and non-pharmacological
interventions to manage patient’s illness and address underlying contributing factors.
1. Encourage po fluids. This excludes sugary drinks like fruit juices, sodas, but rather increase
water and low-sugar or sugar free electrolyte replacements such as Gatorade (Barson, 2024).
2. Administer acetaminophen every 4-6 hours as needed for fever control. If the fever does not
decrease with administration of acetaminophen, administer ibuprofen every 6-8 hours for fever
control and pain relief. Stagger the doses so that every 2-3 hours acetaminophen or ibuprofen
is being given (Barson, 2024).
3. Encourage rest. During sick periods the body needs time to rest and recuperate.
4. Administer antibiotic (amoxicillin) as prescribed. Ensure the full medication course is
finished (Barson, 2024).
5. Humidifier in the room to help loosen any nasal congestion or chest congestion.
6. Suction bulb may be necessary to clear the airway and promote patency of naris.
Pharmacology Case Study MSN 629
1. Pharmacological Plan: most appropriate pharmacological treatment. Consider patient’s
age, severity of symptoms, previous treatments, must include rationale, patient specific
dosing, duration of treatment, medication concentration, recommended dose.
Medication and Recommended Dose Concentration (if Route/Frequency
Rationale mg/kg/day pertinent)
1. Amoxicillin 90 mg/kg/day 1143 mg 125 mg/5 mL 381 mg orally
since the causative every 8 hours
factor of the (15.24 mL) for
pneumonia is seven days
undetermined the
child should be
treated empirically
for seven days
(Barson, 2024).
2. Acetaminophen 15 mg/kg/dose 190.5 mg per 160 mg/5 mL 190.5 mg orally
should be used to not to exceed dose every 4-6 hours
treat fever 75mg/kg/day as needed for
(Barson, 2024). fever (5.9 mL)
not to exceed
952 mg in a 24-
hour period.
3. Ibuprofen 10 mg/kg/dose 127 mg per dose 100 mg/5 mL 127 mg orally
should be used for not to exceed every 6-8 hours
pain control to 40 mg/kg/day as needed for
promote airway pain (6.4 mL)
clearance (Barson, not to exceed
2024). 508 mg in a 24-
hour period.
2. Comprehensive plan incorporating pharmacological and non-pharmacological
interventions to manage patient’s illness and address underlying contributing factors.
1. Encourage po fluids. This excludes sugary drinks like fruit juices, sodas, but rather increase
water and low-sugar or sugar free electrolyte replacements such as Gatorade (Barson, 2024).
2. Administer acetaminophen every 4-6 hours as needed for fever control. If the fever does not
decrease with administration of acetaminophen, administer ibuprofen every 6-8 hours for fever
control and pain relief. Stagger the doses so that every 2-3 hours acetaminophen or ibuprofen
is being given (Barson, 2024).
3. Encourage rest. During sick periods the body needs time to rest and recuperate.
4. Administer antibiotic (amoxicillin) as prescribed. Ensure the full medication course is
finished (Barson, 2024).
5. Humidifier in the room to help loosen any nasal congestion or chest congestion.
6. Suction bulb may be necessary to clear the airway and promote patency of naris.
