Jonathan has been diagnosed with strep throat and needs a prescription for an antibiotic.
He says the last time he had penicillin he developed a red, blotchy rash.
The appropriate antibiotic to prescribe would be:
Penicillin VK, since his rash does not sound like a serious rash
Tetracyclines are contraindicated in children younger than 8 years because of:
Risk of developing cartilage problems
Development of significant diarrhea
Risk of kernicterus
Adverse effects on bone growth
Lisa is a healthy non-pregnant adult woman who recently had a UTI.
She is asking about drinking cranberry juice to prevent a recurrence of the UTI.
The answer to give her would be:
“Sixteen ounces per day of cranberry juice cocktail will prevent UTIs.
“100% cranberry juice or cranberry juice extract may decrease UTIs in some patients.
“There is no evidence that cranberry juice helps prevent UTIs.
“Cranberry juice only works to prevent UTIs in children.
Rose is a 3 year old with an upper respiratory infection (URI).
Treatment for her URI would include:
Nasal saline spray
Patient education for a patient who is prescribed antibiotics for sinusitis includes:
Use of nasal saline washes
Use of inhaled corticosteroids
Avoiding the use of ibuprofen while ill
Use of laxatives to treat constipation
Patients who should be cautious about using decongestants for an upper respiratory infection include:
Patients with asthma
Patients with cardiac disease
Patients with allergies
Janet was recently treated with clindamycin for an infection.
She calls the advice nurse because she is having frequent diarrhea that she thinks may have blood in it.
What would be the appropriate care for her?
Encourage increased fluids and fiber
Assess for pseudomembranous colitis
Advise her to eat yogurt daily to help restore her gut bacteria
Start her on an antidiarrheal medication
To prevent further development of antibacterial resistance it is recommended fluoroquinolones be reserved for treatment of:
Urinary tract infections in young women
Upper respiratory infections in adults
Skin and soft tissue infections in adults
Community-acquired pneumonia in patients with comorbidities
Nicole is a 4-year-old female with a febrile urinary tract infection.
She is generally healthy and has no drug allergies.
Appropriate initial therapy for her UTI would be:
Sally is a 16-year-old female with a urinary tract infection.
She is healthy, afebrile, with no use of antibiotics in the previous 6 months and no drug allergies.
An appropriate first-line antibiotic choice for her would be:
“Our Prices Start at $11.99. As Our First Client, Use Coupon Code GET15 to claim 15% Discount This Month!!”