Description
Case Study 1:
A 45-year-old female of Middle Eastern decent, presents with complaint of a productive cough due, postnasal drip, (that is worse at nighttime), and nasal congestion for the past 5 days. She has been taking Mucinex 500mg Q12H, since her symptoms started, without improvement of symptoms.
Physical examination findings: Vital Signs: T 101.9, BP 112/70, Pulse 88, RR 21, Pain level 5/10, Lungs CTA, no nasal flaring, or accessory muscle usage. Tenderness to bilateral maxillary and ethmoid sinuses. Yellowish-Green nasal discharge, erythematous and edematous nasal turbinates and a headache.
Diagnosis: Acute Maxillary Sinusitis
1. Discuss the pathophysiology for acute sinusitis.
2. What is the diagnostic criteria for acute sinusitis
3. What would be important to do before initiating drug therapy
4. What first line anti-infective would you prescribe to treat it and why?
5. Discuss the contraindications, adverse effects, and interactions to the medication you choose.
6. Discuss options for medication therapy for a patient who is allergic to Penicillin.
7. What patient education will be important to discuss.
8. Write a prescription for the medication you choose for an adult patient and pediatric patient who weighs 50 lbs.
READING & RESOURCES
Read Chapters 6, 13, 16, 17, 23, 25, 28, 31, & 47 In Arcangelo et al. (2022). Pharmacotherapeutics for advanced practice: A practical approach (5th ed.). Wolters Kluwer.
Visit Infectious Disease Society of America (IDSA) Practice guidelines.
