Applying Current Evidence Based Practice Guidelines for the Diagnosis and Treatment of Acute Bacterial Sinusitis in Pediatric Patients Using Healthcare Informatics.
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Pediatric Client with Acute Bacterial Sinusitis | |||
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. |
When would imaging studies be indicated? | |||
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? | |||
What additional medications and or treatment strategies are recommended for treatment or symptomatic control | |||
What is the treatment change in a child with worsening symptoms at 72 hours after initiation of antibiotic | |||
When is outpatient 72 hour “observation” acceptable? | |||
What modifications would be needed for the following children:
Four year old who is otherwise healthy |
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Child with immune deficiency | |||
Child with two prior sinus infections | |||
Child with cystic fibrosis | |||
What other conditions would modify these treatment recommendations? |