lOMoAR cPSD| 56342273
RUNNING HEAD: Strep Study Case 1
N5334 Diabetic case study 2025 LATEST VERSION GET IT CORRECT
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
RUNNING HEAD: Strep Study Case 1
N5334 Diabetic case study 2025 LATEST VERSION GET IT CORRECT
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
