NSG 6005 Advanced Pharmacology FL02 Week 3 completed A

NSG 6005 Advanced Pharmacology FL02 Week 3 Mr. JD is experiencing sinusitis which most cases are caused by a viral infection. I would ask if there is any other pain than the headache Mr. JD is experiencing, I would ask how frequent is the nasal activity as well as when did the greenish substance start. I would ask about travel history, allergic reactions that would cause it. Additionally, I would check CBC, CMP, liver panel as well as ask about previous medication that was taken before. I would ask about tooth pain, ear pain and, eye pain caused by pressure on the surrounding nerves and tissues. Lastly, I would ask about fatigue due to fever, immune response and/or coughing as well as bad breath which is usually due to bacterial infections (Woo, & Robinson 2016). I would treat Mr. JD's cold since he has a 2-week history of cough and congestion. Mr. JD would be experiencing sinusitis. Since sinusitis can be caused by infection, allergies, air pollution, or structural problems in the nose. Since most cases are caused by a viral infection, a bacterial infection may be present if symptoms last more than ten days or if a person worsens after starting to improve. Also, recurrent episodes are more likely in people with asthma, cystic fibrosis, and poor immune function. Therefore I would recommend amoxicillin and clavulanate (Woo, & Robinson 2016). Amoxicillin and clavulanate would be recommended to the patient. I would give Amoxicillin 875 mg every 12 hours for 6 to 8 days. Amoxicillin is a penicillin antibiotic that fights bacteria in the body while clavulanate potassium is a beta-lactamase inhibitor that helps prevent certain bacteria from becoming resistant to amoxicillin, therefore a combination of both is necessary for the treatment of sinusitis. Some side effects include severe stomach pain, diarrhea that is watery or bloody; pale or yellowed skin, dark colored urine, fever, confusion or weakness. Additionally, some other side effects include severe skin reaction, fever, sore throat, swelling in your face or tongue, burning in your eyes, diarrhea; or vaginal itching or discharge. There is no black box warning (Woo, & Robinson 2016). If Mr. JD was a 10-year-old 78 lb child 78 lb, A young child would be less than 40kg, therefore, the usual pediatric dose would be125 mg/5 mL or 250 mg/5 mL oral suspension: 6.67 to 13.33 mg/kg orally every 8 hours. Additionally, 200 mg/5 mL or 400 mg/5 mL oral suspension or chewable tablets: 12.5 to 22.5 mg/kg orally every 12 hours. I would educate the patient to avoid taking amoxicillin and clavulanate potassium if eating a high-fat meal as this will make it harder for your body to absorb the medication. I would warn about allergies that could harm him since antibiotic medicines can cause diarrhea, which may be a sign of a new infection. I would warn him that if he had diarrhea that is watery or bloody, he should consult his doctor and do not use anti-diarrhea medicine unless directed by the doctor (Woo, & Robinson 2016). Reference Woo, T., & Robinson, M. (2016). Pharmacotherapeutics for Advanced Nurse Prescribers(4th ed.). Philadelphia, PA: F. A. Davis Company. Retrieved from