Nursing
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ihuman Reflection: Case: Problem Statement This is an... | Nursing
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Case: Problem Statement This is an 18-year-old male college student with a history of childhood asthma who presents with acute onset of nonproductive cough, sore throat, fatigue, myalgias, and headache × 4 days. He reports a sick contact, and has not had annual flu vaccine or COVID booster. Physical examination reveals a temperature of 101°F, tachycardia, erythematous pharynx, and anterior cervical lymphadenopathy, but is negative for adventitious breath sounds and hepatosplenomegaly. Case: Management Plan Pharmacologic Care: Acetaminophen OTC 325 mg 1-2 tabs PO q 4-6 hours; maximum dose 10 tablets per day pm fever, headache, myalgias Dextromethorphan HBr + guaifenesin 20mg/400 mg 20 mL PO q 4 hrs; maximum dose 6 doses daily pr cough Supportive Care: Increase fluid intake Rest – no class attendance – school note provided for 48 hours Marvin Webster Jr i-Human Patients Case Study Patient Education: Offered education on the diagnosis and treatments provided Educated patient that oseltamivir is not indicated given timeline since symptom onset Follow-Up/Disposition: Follow up in the student health center if not improving within 48 hours or headache worsens or if shortness of breath develops At future visit, address vaccination status – encourage flu vaccine and COVID booster Marvin Webster Jr i-Human Patients Case Study
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