iHuman Case Study – HEENT and Respiratory Infections: Katherine Harris

iHuman Case Study – HEENT and Respiratory Infections: Katherine Harris

iHuman Case Study – HEENT and Respiratory Infections: Katherine Harris

For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.

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This week, complete the iHuman case titled \”Katherine Harris V3.1 PC.”

Apply information from the iHuman Case Study to answer the following questions:

Do you recommend a limited or an involved use of antibiotics in treatment of these diseases and other unconfirmed bacterial illnesses and why? What are the standards regarding the use of antibiotics in pediatric population, and what assessment findings would warrant prescribing an antibiotic for Asthma symptoms?

Using national guidelines and evidence-based literature, develop an Asthma Action Plan for this patient.

Do the etiology, diagnosis, and management of a child who is wheezing vary according to the child’s age? Why or why not? Which objective of the clinical findings will guide your diagnosis? Why? When is a chest x-ray indicated in this case?

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Do you recommend a limited or an involved use of antibiotics in treatment of these diseases and other unconfirmed bacterial illnesses and why? What are the standards regarding the use of antibiotics in pediatric population, and what assessment findings would warrant prescribing an antibiotic for Asthma symptoms?

More than 70% of antibiotics are prescribed in ambulatory pediatrics for respiratory conditions; 23% of the prescribed antibiotics are for conditions without an indication for antibiotic treatment, such as asthma (Burns, Dunn, Brady, Starr, & Blosser, 2017). The frequent use of antimicrobials in pediatric patients has led to significant increase in multidrug resistant bacterial infections among children (Nichols, Stoffella, Meyers, & Girotto, 2017).

Antimicrobial stewardship programs serve as advocates to decrease the misuse of antibiotics with efforts to curtail and optimize the use of antibiotics (Nichols et al., 2017). I do not recommend antibiotic treatment at this point because there is no clear evidence of bacterial infection. Overprescribing antibiotics increments the risk of antibiotic resistance, which may further spread drug-resistant bacteria posing serious risks to patients with asthma (The American Journal of Pharmacy Benefits, 2017).

Antibiotics should be used when signs and symptoms of bacterial infection is suspected or confirmed. For example, in the case of upper respiratory tract infections and bronchiolitis, there is no evidence that proves antibiotics are helpful; hence, they should not be prescribed (CDC, 2017). Moreover, a recent study evaluating the efficacy of adding antibiotics to standard treatment for asthma exacerbations proved that there was no significant therapeutic benefit and that there was no measurable impact on lung function (Boyles, 2016).

,,,

Using national guidelines and evidence-based literature, develop an Asthma Action Plan for this patient.

According to the classifying severity of asthma exacerbations, the patient is exhibiting mild-moderate symptoms of asthma (Burns et al., 2017). Treatment for quick relief  …

Do the etiology, diagnosis, and management of a child who is wheezing vary according to the child’s age? Why or why not? Which objective of the clinical findings will guide your diagnosis? Why? When is a chest x-ray indicated in this case?

The etiology, diagnosis, and management of a child who is wheezing varies according to the child’s age. …

 

References

Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., Blosser, C. G. (2017). Pediatric Primary Care, 6th Edition. [South University]. Retrieved from https://digitalbookshelf.southuniversity.edu/#/books/9780323243384/

Boyles, S. (2016). Antibiotic Shows no Benefit in Asthma Exacerbation. Retrieved from https://www.medpagetoday.com/pulmonology/asthma/60323

Centers for Disease Control and Prevention. (2017). Pediatric Treatment Recommendations. Retrieved from https://www.cdc.gov/antibiotic-use/community/for-hcp/outpatient-hcp/pediatric-treatment-rec.html

Nichols, K., Stoffella, S., Meyers, R., & Girotto, J. (2017). Pediatric Antimicrobial Stewardship Programs. The Journal of Pediatric Pharmacology and Therapeutics, 22(1), pp. 77-80. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5341537/

Os, S., Souef, P. L. (2015). The Wheezing Child- An Algorithm. Australian Family Physician, 44(6), pp. 360-364. Retrieved from https://www.racgp.org.au/afp/2015/june/the-wheezing-child-an-algorithm/

The American Journal of Pharmacy Benefits. (2017). Pediatric Patients with Asthma overprescribed Antibiotics. Retrieved from http://www.ajpb.com/news/pediatric-patients-with-asthma-overprescribed-antibiotics