need a response to peer post with a reference its a case study Case 14 Jake MarlandLearning Issues W

need a response to peer post with a reference its a case study Case 14 Jake MarlandLearning Issues What are some differential diagnoses to acute otitis media?Does the child have enlarged adenoids that affect the opening of the eustachian tube?What lifestyle modifications are needed to improve frequent otitis media? Does secondhand smoke cause frequent ear infections?Interpretation of Cues, Patterns, and Information Additional Questions:Did Jake have a fever with the cold?Does Jake normally have fluid in ear with prior ear infections? Has Jake ever had the flu?Do you think azithromycin help with prior ear infection?Does Jake have any allergies?How often is Jake having runny noses? Have you noticed anyone in the daycare sick?How often does he cough?Assessment:Subjective: Pulling on his right ear, runny nose, mild cough, and did not sleep last night.Objective: temp 99.8F, pulse 98, RR 28, moderate amount of clear discharge in both eyes, left TM with amber fluid effusion, nonmobile, very mild injection at periphery, and cone of light diffused. Problem List: 99.8F temp Moderate amount of clear discharge in both eyesLeft TM with amber fluid effusion and nonmobile Very mild injection at periphery Cone of light diffused Awake all night Attends daycare Father smokes Antibiotic resistance Bottle feeding while laying downDifferential Diagnoses:Acute otitis media: H65.01Acute serous otitis Media: H65.02Acute myringitis: H73.002Acute nasopharyngitis: J00(Dunphy et al., 2019)LabNoneDiagnostic: Rapid antigen flu swab(Burns et al., 2020) Final Diagnosis Acute otitis media: H65.01Therapeutic Options: The patient will need a referral to otolaryngologist (ENT) for recurrent acute otitis media. Since patient has been resistance to amoxicillin and amoxicillin-clavulanate for prior acute otitis media, the patient will require an oral cephalosporins antibiotic to treat for acute otitis media. Patient will be prescribed Cefdinir 7 mg/kg oral liquid every 12 hours for 7 days (Pelton & Tähtinen, 2022). Mother can continue with acetaminophen or children Motrin for pain relief. Patient will need to stay away from secondhand smoke and be out of the day care for 10 days. Patient will need a lot of rest and try to keep water from entering the ear’s when bathing the child. The patient will follow up to clinic in 10 days for further evaluation and update from ENT referral.    Education:Cefdinir is used as the first line to fight acute otitis media when the patient is allergic or the amoxicillin or amoxicillin-clavulanate is not working to treat the underline diagnoses (Pelton & Tähtinen, 2022). Side effects of Cefdinir may include the following: serve stomach pain, diarrhea, fever, chills, body aches, seizure with convulsions, and dark colored urine Make sure to shake the oral suspension before use and store at room temperature away from moisture or heat. Discard oral suspension after 10 days of use (University of Michigan Health, 2022).  Acetaminophen and Ibuprofen (Motrin) are used as an anti-inflammatory to help with pain, swelling and fever. Usage: Cefdinir may be taken with or without food (University of Michigan Health , 2022). Make sure to take 7mg/kg oral liquid every 12 hours for 7 days (Pelton & Tähtinen, 2022).          Health Science Science Nursing Share QuestionEmailCopy link Comments (0)

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