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Apply current evidence-based practice guidelines to the management of a pediatric patient diagnosed with acute bacterial sinusitis.
The guidelines that you are to use are in the following article available in the online Purdue Global library.
Hauk, L. (2014). AAP releases guideline on diagnosis and management of acute bacterial sinusitis in children one to 18 years of age. American Family Physician, 89(8), 676-681.
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Pediatric Client with Acute Bacterial Sinusitis |
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List the clinical criteria that must be present to support this diagnosis in pediatric patients from newborn to 21 years of age. Categorize clinical signs and symptoms by: Persistent Symptoms, Severe Onset, or Worsening Symptoms. |
List Criteria for Persistent Symptoms. |
List Criteria for Severe Onset of Symptoms. |
List Criteria for Worsening Symptoms. |
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When would imaging studies be indicated? |
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What is the recommended Antibiotic for Child with No Known Allergies? Provide dose, frequency, mg., ml., length of treatment, number of dosing units (i.e. prescription information). |
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What is the second line Recommended Antibiotic for Child with allergy to PCN Provide dose, frequency, mg., ml., length of treatment, number of dosing units (i.e. prescription information). |
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When is Referral indicated? |
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What additional medications and or treatment strategies are recommended for treatment or symptomatic control |
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What is the treatment change in a child with worsening symptoms at 72 hours after initiation of antibiotic |
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When is outpatient 72 hour “observation” acceptable? |
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What modifications would be needed for the following children: Four year old who is otherwise healthy |
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Child with immune deficiency |
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Child with two prior sinus infections |
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Child with cystic fibrosis |
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What other conditions would modify these treatment recommendations? |
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