Pediatrics

This assignment requires a current, evidence based practice guideline that is specific to the child in the following scenario. This assignment will require analysis and evaluation of the treatment guideline along with basic knowledge of pharmacotherapeutics. You will be given a case study involving a 5-year-old child with an acute illness presenting in primary care and be expected to answer a selected number of questions. This assignment includes a prepared table to help categorize the requested information.

Case Study:

A 5-year-old male is brought to the primary care clinic by his mother with a chief complaint of bilateral ear pain with acute onset that began “yesterday.” The mother states that the child has been crying frequently due to the pain. Ibuprofen has provided minimal relief. This morning, the child refused breakfast and appeared to be “getting worse.”

Vital signs at the clinic reveal HR 110 bpm, 28 respiratory rate, and tympanic temperature of 103.2 degrees F. Weight is 40.5 lbs. The mother reports no known allergies. The child has not been on antibiotics for the last year. The child does not have history of OM. The child is otherwise healthy without any other known health problems.

Physical examination reveals: Vital signs HR 110 bpm, 28 respiratory rate, and tympanic temperature of 103.2 degrees F. Weight is 40.5 lbs. Bilateral TMs are bulging with severe erythematous. Pneumatic otoscopy reveals absent mobility. Ear canals are normal.

After your questioning and examination, you diagnose this child with bilateral Acute Otitis Media.

According to the current guidelines on medications for a 5-year-old with Acute Otits Media (AOM), address the following the criteria by downloading and completing the assignment template.

Reference

Pediatrics: Official Journal of the American Academy of Pediatrics. (2013). The Diagnosis and Management of Acute Otitis Media. Retrieved from https://pediatrics.aappublications.org/content/pediatrics/131/3/e964.full.pdf