Chamberlain College of Nursing - NR 511NR511.January2017.Wk2TD2. Case Study 2, Part 2.

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Dr. Turner and Class, Mary S: Subjective Chief Complaint (CC): Sore throat since yesterday, Fatigue and chills today. History of Present Illness (HPI): O sore throat yesterday L throat D no inf... ormation provided C fatigue, chills A swallowing makes it worse R no information given T no information given S has not tolerated food or liquids because it hurts worse when she swallows O: Objective: VS: BP 128/72, Temp 101.2, P 100, Regular and Rate 14, Weight 149 pounds, Height 64 inches, BMI- 26 A: Assessment: Strep Throat [Streptococcal Pharyngitis] (ICD J02.0): Strep throat due to the positive rapid strep test. According to the Infectious Diseases Society of America, A patient that presents with some of the following symptoms should have the rapid antigen test performed: fever, sudden sore throat pain, headache, palatal petechiae, nausea, vomiting, tender nodes, abdominal pain, fatigue, chills, and tonsillopharygeal inflammation (American Family Physician [AFP], 2013). P: Plan: https://www.coursehero.com/file/32280935/NR511January2017Wk2TD2-Case-Study-2-Part-2docx/ This study resource was shared via CourseHero.com1. Medications: Rx: Penicillin V Potassium 500 mg capsule Sig: 1 capsule po q 12 hours x 10 days. Disp #20 capsules, no refills (AFP, 2013; Epocrates, 2017). Nonsteroidal anti-inflammatory drugs or acetaminophen can be used to treat pain or help control high fever (AFP, 2013) [Show More]

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