Get Answer: Mother Father Bring Question Guide

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to mother father bring and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves mother father bring. A strong answer should include explanation, application, and examples.

Original Question

HPI: A mother and father bring their 24 month old son in for evaluation of respiratory symptoms. They report that the child has had a cough and runny nose over the last 5 days and started to mess with his left ear intermittently over the last 24 hours and says “ouchy”. They report that the child has a Tmax of 100 over the last 2 days. His sleeping, eating, urine output, activity, and BMs are all normal for him. They have not given him anything for his symptoms, but have been using a humidifier and saline nasal rinse. Mother reports they don’t like to give a lot of medicines and would like to hold off on antibiotics if that is an option. Allergies: NKDA PMH: None Medications: None Vaccinations: UTD Social: Child lives with mother and father and attends daycare 3 days a week. Parents consistently bring the child for all scheduled visits and are dependable to show up when follow up needed ROS: +cough +ear pain -increase work of breathing, wheezing -ear discharge -vomiting, diarrhea -sore throat Physical Exam: VITALS: Wt: 28lbs HR: 100 Temp: 98.7 Pulse ox: 99% Lungs: CTA bilaterally, no wheezes, accessory muscle usage HEENT: rhinorrhea noted, bilateral 2+tonsils without exudates, uvula midline, TMs without perforation, no otorrhea, canals without swelling or erythema, left TM with some redness and minimal effusion but no bulging noted. Right TM WNL. Eyes are clear Heart: RRR, no murmurs Abdomen: Soft without guarding or tenderness, BS x4 Skin: no rashes Questions: Based on the AAP guidelines and the HPI provided what would be an appropriate next step for this child and why? What medications can be recommended for the symptoms of ear pain and fever (if needed)? What would be the appropriate dosing for these medications based on this child’s weight (using the 160mg/5mL concentration and 100mg/5mL as appropriate) ? (You need to tell the parents how many mL to give the child, how often for each recommended medication, and the maximum amount of doses for the day) HPI: About 72 hours later the mother brings the child back to the clinic because he has developed a higher fever up to 102.5 and is complaining more about his ear, eating less, and waking up in the night crying. They have been giving the medication you suggested for the pain and fever, which seems to help for a period of time but then symptoms return. Mother reports that the child has not had any antibiotics within the last 30 days. Allergies: NKDA PMH: None Medications: per HPI Vaccinations: UTD ROS: +ear pain +fever -cough -vomiting -rashes Physical exam: Vitals: Wt: 28lbs, HR: 110, pulse ox: 99% Temp: 101 HEENT: bilateral TMs intact. Left TM with moderate bulging and severe erythema. Right TM with mild bulging and mild erythema. Eyes are clear bilaterally without conjunctivitis or drainage Lungs: CTA without wheezes or accessory muscle usage Abdomen: Soft without guarding or tenderness. BS x4 Questions: What would be your best course of action at this follow up visit? You need to write the prescription for this child’s medication based on the weight given-what is the most appropriate first-line drug, concentration of drug you are using (are multiple options), dosing range, dose to be prescribed (in mg and mL), duration of treatment, amount that needs to be dispensed by pharmacy, and number of refills.

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