NURSING > CASE STUDY > NR 603 WEEK TWO: PART TWO: CASE STUDY FOLLOW UP VISIT DISCUSSION 2(2021)_Graded A+ (All)

NR 603 WEEK TWO: PART TWO: CASE STUDY FOLLOW UP VISIT DISCUSSION 2(2021)_Graded A+

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WEEK TWO: PART TWO: CASE STUDY FOLLOW UP VISIT DISCUSSION 2 Influenza A is a virus that can mutate quickly which makes treatment and prevention difficult for providers. Throughout history, this virus has changed after the initial vaccine was administered for the flu season and has caused major flu outbreaks across the country. Patients who are immunocompromised, like Michelle with asthma, pregnant women, geriatric, and young infants can be severely affected by the flu. Education about yearly vaccinations and prevention is essential for providers to stress with their patients (Paules & Subbarao, 2017). Michelle has been tested positive for Influenza A and is positive for symptoms. Influenza is self-limiting for most healthy patients. Antipyretics, anti-inflammatory agents and increased fluids will be suggested for Michelle. She will be able to return to work within twenty hours after her fever has subsided. The testing conducted on Michelle consisted of an influenza nasal swab. The nurse will use an applicator and swab to collect a specimen. The applicator will be inserted in the nare while gently rotating collecting mucus. The applicator will then be inserted back into the collection container and then tested. The test will take about fifteen minutes to result, indicating whether the patient is positive or negative for influenza (CDC, 2019b). She is borderline within the time frame for receiving antivirals but will be prescribed the medications because of her history of asthma. Antivirals should be initiated within 48 hours and have shown that the mortality rate has been reduced by 52%. Currently, secondary bacterial infection is not suspected. Therefore, she will not need an antibiotic to treat that illness. This is supported by the lack of signs of an infection. Her sputum is white, and her cough is productive. If the color of secretions were green and an ear infection is suspected than antibiotics will be started (Ghebrehewet, MacPherson, & Ho, 2016). Acetaminophen is common over the counter antipyretic used to help reduce fever. The mechanism of actions of acetaminophen works directly on the heat-regulating center of the hypothalamus. The drug is metabolized in the liver; therefore will have to be monitored in patients who have liver disease. The patient should also not exceed more than six pills in twenty hours due to liver toxicity (Epocrates, 2019c). Rx: Tylenol extra strength (acetaminophen extra strength) 500mg Sig: Take one to two tablets by mouth every four to six hours. Ibuprophen is a common over the counter anti-inflammatory used in tandem with acetaminophen to reduce fevers. The mechanism of action of ibuprofen works directly by blocking the production of prostaglandins, substances that the body releases in response to illness and injury. These prostaglandins are released in the brain and cause a fever. Ibuprofen can also help reduce the body aches involved with flu by blocking prostaglandins that cause inflammation and pain (Epocrates, 2019a). RX: Advil (ibuprofen) 400 mg Sig: Take one pill every four hours or two pills every six to eight hours

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