Nursing Pharmacology

Case Study 2: Antibiotic Stewardship in a Pediatric Patient with Pneumonia

Objective: Explore appropriate antibiotic selection, dosing, and resistance concerns in pediatric care.

Patient Profile:

  • Age: 6
  • Gender: Female
  • Weight: 44 lbs (20 kg)
  • Medical History: Recurrent ear infections, no known drug allergies
  • Current Medications: None
  • Diagnosis: Community-Acquired Pneumonia (CAP)

Instructions for Students:

  1. Identify the most likely pathogens causing pneumonia in this age group and discuss antibiotic options.
  2. Select an appropriate antibiotic regimen, including dosing, route, and frequency, based on guidelines for pediatric CAP.
  3. Evaluate the risk of antibiotic resistance and the importance of antibiotic stewardship in this case.
  4. Monitor: Define what clinical signs/symptoms and laboratory findings should be monitored to ensure the therapy is effective.
  5. Adjust: Outline any considerations if the patient fails to respond to first-line therapy or develops adverse effects.
  6. Counsel: Provide key teaching points for parents on  the correct use of antibiotics, potential side effects, and the  importance of completing the prescribed course.

NursingResearchT3Q2

Select a research article that uses a randomized controlled trial focusing on a clinical nursing problem of your choice. Use this research article to address the following questions:

  1. Provide an APA reference of the article including a GCU permalink or working link used to access the article.
  2. Using the “CASP Randomized Controlled Trial Checklist,” (https://casp-uk.net/casp-tools-checklists/randomised-controlled-trial-rct-checklist), evaluate the study. Based on your findings, summarize the critical appraisal of the selected research article.
  3. Do the benefits of the experimental intervention outweigh the harms and costs? Identify and discuss one other ethical consideration applicable to quantitative research studies such as this one.

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format.

NursingResearchT3Q1

Compare independent variables, dependent variables, and extraneous variables. Describe two ways that researchers attempt to control extraneous variables. Provide an example of how this is applied using a peer-reviewed, primary research article.

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format.

Management of Development

List each strategies that might be used by a pediatric primary care provider to incorporate developmental anticipatory guidance into the following sick visits:

  1. An 18-month-old with an acute upper respiratory infection
  2. A 4-year-old with stool withholding and constipation
  3. A 9-year-old with chronic headaches
  4. A 15-year-old with dysmenorrhea.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Weekly Clincal experience in a pediatric clinic

Describe your clinical experience this week in the pediatric clinic as a student family nurse practitioner.

·  Did you face any challenges, any success? If so, what were they?

·  Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.

·  Mention the health promotion intervention for this patient.

·  What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?

·  Support your plan of care with the current peer-reviewed research guideline.

Submission Instructions:

·  Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.