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NR 603 WEEK 5 APEA PREDICTOR- PART 2: PEER PRESSURE
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NR 603 WEEK 5 APEA PREDICTOR- PART 2: PEER PRESSUREWeek 5: APEA Predictor- Part 2: Peer Response
Veronica,
What do you suspect is the correct diagnosis?
Based on the patient’s clinical presentation the suspect diagnosis is bacterial conjunctivitis.
What is your justification?
The patient has signs and symptoms of bacterial conjunctivitis such as pain, irritation, redness,
and complaint of dry greenish flakey discharge in the morning. In some cases individuals with
bacterial conjunctivitis may feel a sensation of having foreign objection in the eye. The patient
complains that she feels like there is sand in her eyes (Hollier, 2018).
What plan would you propose?
The treatment goal for bacterial conjunctivitis is relief of symptoms, prevent the spread of the
infection and decrease the course of infection and inflammation.
Patient education:
Patient will need to be educated on steps to prevent the spread of bacterial conjunctivitis.
Proper handwashing with soap and water.
Avoidance touching her eyes and infecting others and objects.
Discard any eye products such as contract lenses and eye cosmetics.
Use wash cloth or towel for single use and avoid sharing with others.
The gold standard for diagnosis of bacterial conjunctivitis is a culture, for recurring bacterial
conjunctivitis (Ahmad, S., 2018).
Bacterial conjunctivitis is a self-limiting condition in about 5-7 days. However, patient is
experiencing symptoms that limit her activity of daily living an antibiotic can be prescribed.
Ciprofloxacin 2 drops q2 hours for 2 days than 1 drop q4 hours for 5 days while awake.
Referral: None, unless patient experience decreases vision (Hollier, 2018).
References
Ahmad, S. (2018). Diagnosis and management of bacterial conjunctivitis. ACTA Scientific
Pharmaceutical Sciences. Retrieved from https://www.actascientific.com/ASPS/pdf/ASPS-02-
0162.pdf
Hollier, A. (2018). Clinical guidelines in primary care (3rd ed.). Advanced Practice Education
Associates, Inc.
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