Scenario 1: A 16-year-old boy comes to clinic with chief complaint of sore throat for 3 days. D. Question
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Asked by nursep2000
Scenario 1: A 16-year-old boy comes to clinic with chief complaint of sore throat for 3 days. Denies fever or chills. PMH negative for recurrent colds, influenza, ear infections or pneumonias. NKDA or food allergies. Physical exam reveals temp of 99.6 F, pulse 78 and regular with respirations of 18. HEENT normal with exception of reddened posterior pharynx with white exudate on tonsils that are enlarged to 3+. Positive anterior and posterior cervical adenopathy. Rapid strep test performed in office was positive. His HCP wrote a prescription for amoxicillin 500 mg po q 12 hours x 10 days disp #20. He took the first capsule when he got home and immediately complained of swelling of his tongue and lips, difficulty breathing with audible wheezing. 911 was called and he was taken to the hospital, where he received emergency treatment for his allergic reaction
QUESTION:
Does the literature support any recommendations for or against prescribing PCN in a child who has not previously taken it, but has a parent/sibling with an allergy?
SCIENCE
HEALTH SCIENCE
NURSING
NURS 6501
Scenario 1: A 16-year-old boy comes to clinic with chief complaint of sore throat for 3 days. D
