Human Reflection Case Study

Human Reflection Case Study

Case: Problem Statement
This is an 18-year-old male college student with a history of childhood asthma who presents with acute onset of nonproductive cough, sore throat, fatigue, myalgias, and headache × 4 days. He reports a sick contact and has not had annual flu vaccine or COVID booster. Physical examination reveals a temperature of 101°F, tachycardia, erythematous pharynx, and anterior cervical lymphadenopathy, but is negative for adventitious breath sounds and hepatosplenomegaly.

Human Reflection Case Study

Case: Management Plan
Pharmacologic Care:

Acetaminophen OTC 325 mg 1-2 tabs PO q 4-6 hours; maximum dose 10 tablets per day pm fever, headache, myalgias
Dextromethorphan HBr + guaifenesin 20mg/400 mg 20 mL PO q 4 hrs.; maximum dose 6 doses daily pr cough
Supportive Care:

Increase fluid intake
Rest – no class attendance – school note provided for 48 hours
Marvin Webster Jr i-Human Patients Case Study
Patient Education:

Offered education on the diagnosis and treatments provided
Educated patient that oseltamivir is not indicated given timeline since symptom onset
Follow-Up/Disposition:

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Human Reflection Case Study

Follow up in the student health center if not improving within 48 hours or headache worsens or if shortness of breath develops
At future visit, address vaccination status – encourage flu vaccine and COVID booster
Marvin Webster Jr I-Human Patients Case Study

Case: Problem Statement
This is an 18-year-old male college student with a history of childhood asthma who presents with acute onset of nonproductive cough, sore throat, fatigue, myalgias, and headache × 4 days. He reports a sick contact and has not had annual flu vaccine or COVID booster. Physical examination reveals a temperature of 101°F, tachycardia, erythematous pharynx, and anterior cervical lymphadenopathy, but is negative for adventitious breath sounds and hepatosplenomegaly.

Human Reflection Case Study

Case: Management Plan
Pharmacologic Care:

Acetaminophen OTC 325 mg 1-2 tabs PO q 4-6 hours; maximum dose 10 tablets per day pm fever, headache, myalgias
Dextromethorphan HBr + guaifenesin 20mg/400 mg 20 mL PO q 4 hrs.; maximum dose 6 doses daily pr cough
Supportive Care:

Increase fluid intake
Rest – no class attendance – school note provided for 48 hours
Marvin Webster Jr I-Human Patients Case Study