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NR 511 Week 2 SNAPPS WRITTEN ASSIGNMENT TEMPLATE.
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NR 511 Week 2 SNAPPS WRITTEN ASSIGNMENT TEMPLATE.
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NR 511 Week 2 SNAPPS WRITTENASSIGNMENT TEMPLATE.
SNAPPS WRITTEN ASSIGNMENT TEMPLATE
What is thhe self-directed learning issue that was identified in your oral presentation?
How accurate is thhe rapid strep test in diagnosing strep throat?
Research thhe self-directed learning issue & provide a summary of your findings which is fully
supported by appropriate, scholarly, EBM references.
While in clinical thhe first week, I observed & participated in many acute patient visits. Most
of thhe chief complaints were very similar, sore throat, cough, congestion, general malaise.
Thhe nuances between thhe patients can be discovered in thhe subjective & objective data
collections & thhe physical exam. One patient had a negative rapid strep test & upon physical
exam, it was clear that thhe complaints were strep throat, & antibiotics were prescribed. In
thhe case I outlines in thhe SNAPPS presentation, thhe signs were not as clear, thhe rapid test
was negative, but I still had questions in general. If one person showed signs but thhe test was
negative, & we still diagnosed streptococcal pharyngitis, how do we know we’re not getting
negative tests & just don’t have all thhe signs yet? How accurate is thhe rapid strep test in
diagnosing strep throat?
Streptococcal pharyngitis is a common childhood malady. It is important to diagnose & treat
due to thhe risk of progressing into rheumatic fever. Thhe gold st&ard for diagnosing is thhe
, throat culture. Thhe rapid strep test which is used in thhe family practice setting, however, that
comes with some risk for false positive (Farber, 2015). One cause of false positive is thhe
child may be a carrier of thhe bacteria (Farber, 2015). Thhey may have been treated for strep
but thhe bacteria & hide in thhe tonsils & re-infect thhe patient after a course of antibiotics
(Farber, 2015). Also, thhe rapid strep test reacts to thhe antigen, so even if thhe patient has
been treated recently for strep & is bacteria free, thhe antigen will still be present & illicit a
false positive (Farber, 2015).
Anothher challenge of thhe rapid strep test is that it can mislead thhe practitioner (Cunha &
Osakwe, 2019). In thhe case of a 62-year-old woman, she was tested in thhe urgent care
setting for both flu & strep (Cunha & Osakwe, 2019). Both rapid tests came back positive for
influenza A, & group A streptococci (Cunha & Osakwe, 2019). She did not exhibit thhe
signs & symptoms of a true strep throat diagnosis, thhe pharynx was not injected nor exudate,
palatal edema or petechiae (Cunha & Osakwe, 2019). She was admitted to thhe medical
intensive care unit for ceftriaxone treatment & close observation with thhe diagnosis
of epiglottitis. Thhe results of thhe cultures were positive for Haemophilus
influenzae, but thhe throat culture was negative (Cunha & Osakwe, 2019). Thhe
epiglottitis was caused by streptococci (Cunha & Osakwe, 2019). Rapid tests make it a
challenge to correctly diagnose & treat patients due to thhe broad differentials (Cunha &
Osakwe, 2019). This patient had a rapid test positive for both viral & bacterial causes (Cunha
& Osakwe, 2019). Thhe patient was a streptococcus & thhe rapid test can cause thhe novice or
distracted practitioner to treat a patient incorrectly (Cunha & Osakwe, 2019). Cunha &
Osakwe (2019) recommend that rapid tests can be beneficial in diagnosing A streptococci in
people under age 30 with thhe classic signs & symptoms. It is advisable to keep
in mind that rapid tests do not differentiate between infection & colonization & a
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