Write a case study on Acute Otitis Media
Write a case study on Acute Otitis Media.Olivia is brought in by her grandmother today complaining of fever of 101, earache, cough, runny nose, and decreased appetite x3days. Olivia is a 4 year old Caucasian female that’s lives with her mom, dad, 8 y/o and 1 y/o brothers. Both parents smoke in the home. Olivia attends preschool 5 days a week. All her immunizations are up to date. Her mother is a nurse and has been treating her with Children’s Tylenol, saline nasal spray and humidifier at night. Exam: Vital Signs T-38.5, P-108, RR-26, BP-88/50, weight- 37lbs, height-40”
General: She is active, alert and in no apparent distress, HEENT: right tympanic membrane is erythematous and bulging with poor mobility and decreased light reflex, left tympanic membrane is clear with good mobility. Throat is non-erythematous. Lymph: There a small cervical lymph nodes palpable. Lungs: Clear to auscultation. The rest of her exam is normal. She has no known drug or food allergies
Assessment: Acute Otitis Media
What is the treatment plan for Olivia today: Must use evidence based reference with citations on all questions
- Pharmacologic? This should include any OTC medications
- Non pharmacologic? This should also include any patient education
- Follow up and Referral?
Cite any lab/diagnostic testing needed for before prescribing that are required and any needed for monitoring. State MOA of drug/drug class, ADME of medication (short summation of 1 or 2 sentences), patient education/counseling or side effect education that should be included. Note pertinent drug-drug interactions (do not list every drug interaction. Can state CYP450 inhibitor etc. Or if the patient is already taking a medication that could be an issue), Black Box warnings and life span considerations?