Question

6: Case Study: Strep Throat

Aiden is a 3-year old who came to see Sue Smith, DNP with a sore throat and a temperature of 103 degrees F. Dr. Smith examines Aiden’s throat, and observes white patches on the back of his throat and tonsils and requests a rapid strep test. The test results come back positive - Aiden has strep throat. Dr. Smith prescribes amoxicillin for Aiden. Aiden has never taken any type of antibiotic before.

1. What should Dr. Smith ask before prescribing amoxicillin?
2. How will the amoxicillin affect the streptococcus bacteria?
3. Are there any issues of drug administration that are related to age?
4. What education should Aiden’s mother receive about amoxicillin?
5. What are some nursing interventions to maximize the therapeutic benefits of Aiden’s medications?

Answer 1

■Before before prescribing amoxicillin or any other antibiotic the following information has to be collected

• History of any drug allergy, allergic to amoxicillin, cephalosporin and especially penicillin.
• Any history of asthma, congenital condition, liver or kidney problems
• History of diarrhea on taking antibiotics previously

■ When the drug amoxicillin is taken it will cease the formation of the bacterial cell wall which will prevent multiplication and death of the bacteria.

■ The main issue is the route and method of administration due to age .The toddler at this age are very active and adapt to environment. Any unpleasant experience can make them fear and avoid it totally. So appropriate form of drug (liquid) can be used to administer the drug effectively to tye child.

■The the following education should be provided to the mother

• To complete the antibiotic course
• Stop in case of adverse reactions and especially diarrhea
• Do not give any herbal supplements or OTC drugs
• Monitor the child for any side effects
• Administer the correct dose, do not overdose or under dose
• Administer with or after food
• Do not use the left over from previous dose

■Some of the nursing intervention are

• Monitor the child periodically
• Assess vital signs
• Control the high fever with cold sponge,tapid sponge or with antipyretic medication.
• Ensure the child receives adequate nutrition