Problem
You are working as a new family nurse practitioner at a rural family practice clinic, and you see a 3-year-old, 33 lb. female patient brought to the clinic by her mother. Her mother states she had an upper respiratory infection a couple of weeks ago which has improved, but now she has a persistent cough. She has also been tugging at her right ear for the past three days. She has a PMH of ventricular septal defect. She lives at home with her parents. She attends daycare three days a week. She has no known drug allergies.
a) Differentiate between viral and bacterial respiratory disorders?
b) Discuss the short and long-term consequences of over-prescribing antibiotics. what antibiotic would be appropriate. If antibiotics are indicated, what would you prescribe? Should the formulation be a liquid, or a chewable pill? Why might the taste of the liquid be a consideration in prescribing? Why should the cost of the medication be a consideration in prescribing?